Dental Club Darien P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL CLUB DARIEN P.C.

Doing business as

Kingery Dental Health and Wellness

Practice address

6700 Il-83
Darien, IL 60561

Phone

(630) 934-0439

NPI assigned

Jul 29, 2022

Last updated

Oct 17, 2024By 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. Thomas J Ryan Jr., DDSNPI 1245327519

Title

President

Phone

(708) 305-0729

Specialties & licenses 1

Addresses

Other names 1

• Kingery Dental Health and Wellness Doing business as

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.

• Thomas Joseph Ryan Jr., D.D.S.

  • General Practice Dentistry
  • Tinley Park, IL
  • NPI 1245327519
  NPD Authorized official

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1396471470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 POPLAR CREEK LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677308",
            "telephone_number": "708-305-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 IL-83",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "60561",
            "telephone_number": "630-934-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CLUB DARIEN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-305-0729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingery Dental Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail Davis
• Robert F. Davis, D.O.
• DC Orthoneuro LTD.
• Bianca-Yves Delos Reyes, RBT
• Jamie Delos Reyes
• Dental Professionals of Illinois, P.C (Woodridge Dental)
• Christina L Dimitropoulos, N.P.
• Stamatis Dimitropoulos, M.D.
• George Milan Dimovski, PHARMD
• Arianna Dipersia

• Dental Clinic/Center in Darien, IL
• Providers in Darien, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.