NPIMap

Organization Active NPI

Rem DDS Inc

  • Dentist
  • Mt Prospect, IL
National Provider Identifier
1558898312
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.031022 Issued in IL
Legal business name
REM DDS INC
Practice address
2380 S Elmhurst Rd
Suite 100
Mt Prospect, IL 60056-5805
Phone
(224) 634-1907
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Roberto Monteagudo
Title
DDS
Phone
(402) 932-9413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019.031022 IL Primary

Addresses

Primary practice location

2380 S Elmhurst Rd
Suite 100
Mt Prospect, IL 60056-5805

Mailing address

2380 S Elmhurst Rd
Suite 100
Mt Prospect, IL 60056-5805

National Provider Directory

National Provider Directory
Tax ID family
Rem DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2380 S Elmhurst Rd
Ste 100
Mt Prospect, IL 60056
Phone (224) 634-1907

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1558898312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 S ELMHURST RD",
            "address_2": "SUITE 100",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600565805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 S ELMHURST RD",
            "address_2": "SUITE 100",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600565805",
            "telephone_number": "224-634-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "MONTEAGUDO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "402-932-9413"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.031022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.