North Creek Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0190193333 Issued in IL

Legal business name

NORTH CREEK DENTAL CARE

Practice address

18425 W Creek Dr
Tinley Park, IL 60477-6767

Phone

(708) 532-4131

Fax

(708) 532-4151

NPI assigned

May 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Joseph Ryan Jr., D.D.S.

Title

President

Phone

(708) 532-4121

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1427375278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 W CREEK DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776767",
            "telephone_number": "708-532-4131",
            "fax_number": "708-532-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 W CREEK DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776767",
            "telephone_number": "708-532-4131",
            "fax_number": "708-532-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CREEK DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-532-4121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "0190193333",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "1811932106",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "1891985552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Nielson
• Phillip T Nigro, MD
• Nittor R. Jayaram MD LTD
• Riley Nolan
• Ellen Kathleen Noonan
• North Creek Dental PC
• Northland Hearing Centers, Inc
• Roxana M. Norvais, M.A.,L.C.P.C.
• Ashley Nicole Novy, MSN, APRN, FNP-C
• Carolyn Nowakowski, PSYD

• Dental Clinic/Center in Tinley Park, IL
• Providers in Tinley Park, 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 May 3, 2010; 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.