NPIMap

Organization Active NPI

Dental Perfection

  • General Practice Dentistry
  • Niles, IL
National Provider Identifier
1417068594
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-025194 Issued in IL
Legal business name
DENTAL PERFECTION
Practice address
9052 Golf Rd
Niles, IL 60714
Phone
(847) 297-4815
Fax
(847) 297-5274
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Marina K Borochin, DDSNPI 1649234683
Title
President
Phone
(847) 297-4815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019-025194 IL Primary

Addresses

Primary practice location

9052 Golf Rd
Niles, IL 60714

Mailing address

9052 Golf Rd
Niles, IL 60714
Phone (847) 297-4815

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1417068594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9052 GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-297-4815",
            "fax_number": "847-297-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9052 GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-297-4815",
            "fax_number": "847-297-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PERFECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "BOROCHIN",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-297-4815",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-025194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.