Active NPI
D2 Dental of Lansing, P.C.
- General Practice Dentistry
- Lansing, IL
National Provider Identifier
1598050254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- D2 DENTAL OF LANSING, P.C.
- Practice address
- 17653 Torrence Ave
Lansing, IL 60438-4839 - Phone
- (708) 386-4100
- NPI assigned
- Jun 10, 2011
- 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
- Mr. Boris Labinov
- Title
- Agent
- Phone
- (708) 386-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
17653 Torrence Ave
Lansing, IL 60438-4839
Mailing address
137 N Oak Park Ave Ste 310
Oak Park, IL 60301-1339
National Provider Directory
National Provider Directory- Tax ID family
- D2 Dental of Lansing PC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1235581711
-
- General Practice Dentistry
- Oak Park, IL
- NPI 1891259768
-
- General Practice Dentistry
- Niles, IL
- NPI 1972955458
Locations
16739 Torrence Ave
Lansing, IL 60438
Phone (708) 381-9652
17653 Torrence Ave
Lansing, IL 60438
Phone (708) 386-4100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721174400000",
"number": "1598050254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 N OAK PARK AVE STE 310",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17653 TORRENCE AVE",
"city": "LANSING",
"state": "IL",
"postal_code": "604384839",
"telephone_number": "708-386-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D2 DENTAL OF LANSING, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-10",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A",
"authorized_official_last_name": "LABINOV",
"authorized_official_first_name": "BORIS",
"authorized_official_title_or_position": "AGENT",
"authorized_official_telephone_number": "708-386-4100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.