205 Direct Dental Services Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

205 DIRECT DENTAL SERVICES INC.

Practice address

4151 Samuelson Rd
Rockford, IL 61109-3272

Phone

(815) 637-6400

NPI assigned

Sep 10, 2025

Last updated

Sep 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Henry Cyrus Oates, DDSNPI 1699845263

Title

Dentist / President

Phone

(815) 637-6400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Henry Cyrus Oates, D.D.S.

  • General Practice Dentistry
  • Rockford, IL
  • NPI 1699845263
  NPD Authorized official

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1386525889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3957 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148004",
            "telephone_number": "815-637-6400",
            "fax_number": "815-637-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 SAMUELSON RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611093272",
            "telephone_number": "815-637-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "205 DIRECT DENTAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "OATES",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "CYRUS",
        "authorized_official_title_or_position": "DENTIST / PRESIDENT",
        "authorized_official_telephone_number": "815-637-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1St Step Chiropractic SC
• 2 Sisters Home Healthcare Inc.
• 32DRS Family Dental 2, LLC
• A Time for Heart
• A.M. Art Therapy Co
• Waleed Abbasi, M.D.
• Turkia Mahmud Abbed, M.D.

• Dentist in Rockford, IL
• Providers in Rockford, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.