Active NPI
David S. Center DDS LTD
- Dentist
- Skokie, IL
National Provider Identifier
1487154886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.016609
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.
-
- Dentist
- Skokie, IL
- NPI 1760608855
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.