Active NPI
Da Vinci Dental LTD
- Dentist
- Bloomingdale, IL
National Provider Identifier
1508232869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019026505
- Legal business name
- DA VINCI DENTAL LTD
- Practice address
- 1 Tiffany PT
Ste 207
Bloomingdale, IL 60108-2936 - Phone
- (630) 582-3120
- NPI assigned
- Aug 20, 2015
- 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
- Dr. Omar Ojjeh, D.M.D.
- Title
- President
- Phone
- (630) 886-7261
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019026505 | IL | Primary |
Addresses
Primary practice location
1 Tiffany PT
Ste 207
Bloomingdale, IL 60108-2936
Mailing address
1 Tiffany PT
Ste 207
Bloomingdale, IL 60108-2936
Phone (630) 582-3120
National Provider Directory
National Provider DirectoryLocations
1 Tiffany Pt
Ste 207
Bloomingdale, IL 60108
Phone (630) 582-3120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440028800000",
"number": "1508232869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 TIFFANY PT",
"address_2": "STE 207",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082936",
"telephone_number": "630-582-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TIFFANY PT",
"address_2": "STE 207",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082936",
"telephone_number": "630-582-3120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DA VINCI DENTAL LTD",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-20",
"last_updated": "2015-08-20",
"status": "A",
"authorized_official_last_name": "OJJEH",
"authorized_official_first_name": "OMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-886-7261",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": "019026505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.