NPIMap

Organization Active NPI

Performance Dental Care

Doing business as 7-7 Dental of Flossmoor

  • General Practice Dentistry
  • Flossmoor, IL
National Provider Identifier
1457522591
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PERFORMANCE DENTAL CARE
Doing business as
7-7 Dental of Flossmoor
Practice address
19509 Governors Hwy
Flossmoor, IL 60422-2097
Phone
(708) 798-8787
NPI assigned
Mar 17, 2008
Last updated
Nov 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Mrs. Debra Bafia
Title
Business Manager
Phone
(708) 599-8400

Specialties & licenses 1

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

Addresses

Primary practice location

19509 Governors Hwy
Flossmoor, IL 60422-2097

Mailing address

19509 Governors Hwy
Flossmoor, IL 60422-2097
Phone (708) 798-8787

Other names 1

  • 7-7 Dental of Flossmoor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1457522591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19509 GOVERNORS HWY",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222097",
            "telephone_number": "708-798-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19509 GOVERNORS HWY",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222097",
            "telephone_number": "708-798-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "BAFIA",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "708-599-8400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "7-7 Dental of Flossmoor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flossmoor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.