Organization Active NPI

Village Green Dental Center

  • General Practice Dentistry
  • Aurora, IL
National Provider Identifier
1477603025
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VILLAGE GREEN DENTAL CENTER
Practice address
2853 E New York St
Aurora, IL 60502-9059
Phone
(630) 851-0710
Fax
(630) 851-0431
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Gardner Hutchins, DDS
Title
Owner
Phone
(630) 851-0710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IL Primary

Addresses

Primary practice location

2853 E New York St
Aurora, IL 60502-9059

Mailing address

2853 E New York St
Aurora, IL 60502-9059
Phone (630) 851-0710

National Provider Directory

National Provider Directory

Locations

2853 E New York St
Aurora, IL 60502
Phone (630) 449-3079

Practitioners & affiliated clinicians

Practitioners 2

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477603025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 E NEW YORK ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029059",
            "telephone_number": "630-851-0710",
            "fax_number": "630-851-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 E NEW YORK ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029059",
            "telephone_number": "630-851-0710",
            "fax_number": "630-851-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE GREEN DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUTCHINS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "GARDNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-851-0710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • 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.