Organization Active NPI

Joshua Prompton DDS PLLC

  • Dental Clinic/Center
  • Northbrook, IL
National Provider Identifier
1477137644
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOSHUA PROMPTON DDS PLLC
Practice address
840 Willow Rd Ste H
Northbrook, IL 60062-6823
Phone
(847) 559-9550
Fax
(847) 559-9560
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Joshua Harper Prompton, DDS
Title
Dentist/Owner
Phone
(832) 600-1069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

840 Willow Rd Ste H
Northbrook, IL 60062-6823

Mailing address

840 Willow Rd Ste H
Northbrook, IL 60062-6823
Phone (847) 559-9550

Other identifiers 1

IdentifierTypeStateIssuer
1316402910OtherILINDIVIDUAL NPI

Other names 1

  • Willow Festival Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@willowfestivaldental.com Direct

National Provider Directory

National Provider Directory

Locations

840 Willow Rd
Ste H
Northbrook, IL 60062
Phone (847) 559-9550

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1477137644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WILLOW RD STE H",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626823",
            "telephone_number": "847-559-9550",
            "fax_number": "847-559-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WILLOW RD STE H",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626823",
            "telephone_number": "847-559-9550",
            "fax_number": "847-559-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA PROMPTON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "PROMPTON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "HARPER",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "832-600-1069",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1316402910",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@willowfestivaldental.com",
            "affiliation": "N",
            "endpointDescription": "office e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "840 Willow Rd Ste H",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600626823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Willow Festival Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.