Harold J. Birky DDS LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

060002045 Issued in IL

Legal business name

HAROLD J. BIRKY DDS LTD.

Practice address

3115 Lewis Ave
Zion, IL 60099-3099

Phone

(847) 746-8622

Fax

(847) 746-8215

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Harold John Birky

Title

President

Phone

(847) 746-8622

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1437375045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 LEWIS AVE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600993099",
            "telephone_number": "847-746-8622",
            "fax_number": "847-746-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 LEWIS AVE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600993099",
            "telephone_number": "847-746-8622",
            "fax_number": "847-746-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD J. BIRKY DDS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "BIRKY",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-746-8622",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "060002045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.