Organization Active NPI

David S. Center DDS LTD

  • Dentist
  • Skokie, IL
National Provider Identifier
1487154886
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.016609 Issued in IL
Legal business name
DAVID S. CENTER DDS LTD
Practice address
9933 Lawler Ave Ste 204
Skokie, IL 60077-3757
Phone
(847) 677-0080
Fax
(847) 677-0097
NPI assigned
Feb 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Ivy Lynne Tuber
Title
Office Manager
Phone
(847) 677-0080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019.016609 IL Primary

Addresses

Primary practice location

9933 Lawler Ave Ste 204
Skokie, IL 60077-3757

Mailing address

9933 Lawler Ave Ste 204
Skokie, IL 60077-3757
Phone (847) 677-0080

National Provider Directory

National Provider Directory

Locations

9933 Lawler Ave
Ste 204
Skokie, IL 60077
Phone (847) 677-0080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1487154886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 204",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773757",
            "telephone_number": "847-677-0080",
            "fax_number": "847-677-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 204",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773757",
            "telephone_number": "847-677-0080",
            "fax_number": "847-677-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. CENTER DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "TUBER",
        "authorized_official_first_name": "IVY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-677-0080"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.016609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.