Progressive Dental & Associates, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROGRESSIVE DENTAL & ASSOCIATES, PC

Practice address

20402 Crawford Ave
Matteson, IL 60443-1734

Phone

(708) 747-4294

Fax

(708) 747-5223

NPI assigned

May 22, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Derell Durr, DMDNPI 1861655631

Title

Owner/Dentist

Phone

(708) 747-4294

Specialties & licenses 1

Addresses

Other names 1

• PROGRESSIVE DENTAL AND ASSOCIATES, PC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Derell Durr, DMD

  • General Practice Dentistry
  • Matteson, IL
  • NPI 1861655631

  Durable Medical Equipment & Medical Supplies

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1386201622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20402 CRAWFORD AVE",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431734",
            "telephone_number": "708-747-4294",
            "fax_number": "708-747-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20402 CRAWFORD AVE",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431734",
            "telephone_number": "708-747-4294",
            "fax_number": "708-747-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DENTAL & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "DURR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DERELL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "708-747-4294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROGRESSIVE DENTAL AND ASSOCIATES, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lesa E. Porter, LPC
• Malaya Janae Porter
• Positive Impact Solution
• Prince&Princess
• Joseph Probst
• Project Thrive
• Prosperity Healthcare Agency
• Prosperity Healthcare Staffing LLC
• Prudential Home Health Services Corporation
• Garrett Leonard Quail II, ATC

• Durable Medical Equipment & Medical Supplies in Matteson, IL
• Providers in Matteson, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.