Brian a. Rybicki, DDS, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

019-026190 Issued in IL

Legal business name

BRIAN A. RYBICKI, DDS, P.C.

Doing business as

Spring Grove Dental

Practice address

2450 N US Highway 12
Unit E
Spring Grove, IL 60081-8361

Phone

(815) 675-1156

NPI assigned

May 20, 2008

Last updated

May 20, 2008By 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

Dr. Brian Rybicki, DDSNPI 1548389414

Title

President

Phone

(815) 675-1156

Specialties & licenses 1

Addresses

Other names 1

• Spring Grove Dental Doing business as

Locations

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.

• Brian Rybicki, DDS

  • General Practice Dentistry
  • Spring Grove, IL
  • NPI 1548389414
  Authorized official Same address or phone

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1477710192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 N US HIGHWAY 12",
            "address_2": "PO BOX 310",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600818361",
            "telephone_number": "815-675-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 N US HIGHWAY 12",
            "address_2": "UNIT E",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600818361",
            "telephone_number": "815-675-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A. RYBICKI, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "RYBICKI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-675-1156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-026190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Grove Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Spring Grove, IL
• Providers in Spring Grove, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.