Organization Active NPI

HRK Dental PLLC

Doing business as Bloomingdale Dental Center

  • Dental Clinic/Center
  • Bloomingdale, IL
National Provider Identifier
1578140794
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HRK DENTAL PLLC
Doing business as
Bloomingdale Dental Center
Practice address
183 S Bloomingdale Rd Ste 102
Bloomingdale, IL 60108-1454
Phone
(224) 520-8665
NPI assigned
Mar 24, 2021
Last updated
Apr 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Dr. Kevin Fatland, DMD
Title
Manager
Phone
(708) 990-7869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

183 S Bloomingdale Rd Ste 102
Bloomingdale, IL 60108-1454

Mailing address

7855 Pineview LN
Frankfort, IL 60423-9004
Phone (708) 990-7869

Other names 1

  • Bloomingdale Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

108 S Bloomingdale Rd
Ste 102
Bloomingdale, IL 60108

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1578140794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 PINEVIEW LN",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239004",
            "telephone_number": "708-990-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 S BLOOMINGDALE RD STE 102",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081454",
            "telephone_number": "224-520-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HRK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "FATLAND",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-990-7869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomingdale Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bloomingdale Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 14, 2021; 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.