Montrose Dental Clinic PC

Primary specialty

DentistTaxonomy code 122300000X

License

019016447 Issued in IL

Legal business name

MONTROSE DENTAL CLINIC PC

Practice address

3541 W Montrose Ave
#1W
Chicago, IL 60618-1139

Phone

(815) 741-1700

Fax

(815) 483-2298

NPI assigned

Apr 24, 2015

Last updated

Apr 24, 2015By 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. David Rubis, DDSNPI 1699873588

Title

President

Phone

(815) 741-1700

Specialties & licenses 1

Addresses

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.

• David Joseph Rubis, D.D.S.

  • Dentist
  • Crest Hill, IL
  • NPI 1699873588
  Authorized official Same address or phone

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1538556840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 W MONTROSE AVE",
            "address_2": "#1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181139",
            "telephone_number": "815-741-1700",
            "fax_number": "815-483-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 W MONTROSE AVE",
            "address_2": "#1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181139",
            "telephone_number": "815-741-1700",
            "fax_number": "815-483-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTROSE DENTAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "RUBIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-741-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019016447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Rene Montoya, M.D.
• Deepa Bhatt Montoya, DPM
• Raymond R Montoya II, DPM
• Sonia E Montoya, RDH
• Taryn Rae Montoya, MSPT, PT
• Montrose Dental Clinic PC
• Montrose Dental Group P.C.
• Montrose Family Dental Center (Edward G. Vivit, DDS)
• Montrose Foot and Ankle LLC
• Kirstin Montsma

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.