NPIMap

Organization Active NPI

Drflash

  • Dentist
  • Plainfield, IL
National Provider Identifier
1457589715
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019020648 Issued in IL
Legal business name
DRFLASH
Practice address
23657 W Orchard LN
Plainfield, IL 60586-8012
Phone
(630) 878-0351
Fax
(815) 254-9746
NPI assigned
Jun 25, 2009
Last updated
Jun 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Dr. John A Gordon Jr., D.M.D.NPI 1134205586
Title
Officer
Phone
(630) 878-0351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory 292200000X NU
Dentist 122300000X 019020648 IL Primary

Addresses

Primary practice location

23657 W Orchard LN
Plainfield, IL 60586-8012

Mailing address

23657 W Orchard LN
Plainfield, IL 60586-8012
Phone (630) 878-0351

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1457589715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23657 W ORCHARD LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605868012",
            "telephone_number": "630-878-0351",
            "fax_number": "815-254-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23657 W ORCHARD LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605868012",
            "telephone_number": "630-878-0351",
            "fax_number": "815-254-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRFLASH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "630-878-0351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.