Organization Active NPI

Hut Dental Associates

  • General Practice Dentistry
  • Oak Brook, IL
National Provider Identifier
1457503245
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
060-005394 Issued in IL
Legal business name
HUT DENTAL ASSOCIATES
Practice address
120 Oak Brook Center Mall
Suite 625
Oak Brook, IL 60523-1806
Phone
(630) 572-9696
Fax
(630) 572-9743
NPI assigned
Oct 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
Dr. Morris Hutabarat, DDS
Title
President
Phone
(630) 572-9696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 060-005394 IL Primary

Addresses

Primary practice location

120 Oak Brook Center Mall
Suite 625
Oak Brook, IL 60523-1806

Mailing address

PO Box 5004
Oak Brook, IL 60522-5004
Phone (630) 572-9696

National Provider Directory

National Provider Directory

Locations

120 Oakbrook Center Mall
Ste 625
Oak Brook, IL 60523
Phone (630) 572-9696

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1457503245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5004",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605225004",
            "telephone_number": "630-572-9696",
            "fax_number": "630-572-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OAK BROOK CENTER MALL",
            "address_2": "SUITE 625",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231806",
            "telephone_number": "630-572-9696",
            "fax_number": "630-572-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUT DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "HUTABARAT",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-572-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "060-005394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.