DRS. Nelson and Gary Dental Assoc. Lta

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DRS. NELSON AND GARY DENTAL ASSOC. LTA

Practice address

1443 W Schaumburg Rd
Ste 102
Schaumburg, IL 60194-4065

Phone

(847) 895-4510

Fax

(847) 895-8834

NPI assigned

Jul 11, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara J Nelson

Title

Office Manager Corporate Secretary

Phone

(842) 895-4513

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467450783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 W SCHAUMBURG RD",
            "address_2": "STE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601944065",
            "telephone_number": "847-895-4510",
            "fax_number": "847-895-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 W SCHAUMBURG RD",
            "address_2": "STE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601944065",
            "telephone_number": "847-895-4510",
            "fax_number": "847-895-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. NELSON AND GARY DENTAL ASSOC. LTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER CORPORATE SECRETARY",
        "authorized_official_telephone_number": "842-895-4513",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Drake, L.C.P.C.
• Mallory Drenth, OTR/L
• Amy Dressler-Syed, M.S., CCC-SLP/L
• DRS Morgan and Aide-Optometrists, P.C. (Illinois Eye Care Centers of Schaumburg, Hoffman Estates, and Palatin)
• DRS. Aide and Assell Optometrists, PC (Illinois Eye Care Centers)
• Mary Kate Drufke, M.S.
• Irena Dubiel, MA, LCPC, CADC
• Roger Brian Duda, D.C.
• Tristan Dugan
• Doran Michael Duke, M.D.

• Dental Clinic/Center in Schaumburg, IL
• Providers in Schaumburg, 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 Aug 22, 2020; 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.