R.a. Berquist, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19-011929 Issued in IL

Legal business name

R.A. BERQUIST, D.D.S., P.C.

Practice address

19710 Governors Hwy
Suite #4
Flossmoor, IL 60422-2080

Phone

(708) 799-4488

Fax

(708) 799-7956

NPI assigned

Mar 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Robert Allen Berquist, D.D.S.NPI 1831250034

Title

Owner/Dentist

Phone

(708) 799-4488

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.

• Robert Allen Berquist, DDS

  • Dentist
  • Flossmoor, IL
  • NPI 1831250034
  NPD (past) Authorized official

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1598063885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19710 GOVERNORS HWY",
            "address_2": "SUITE #4",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222080",
            "telephone_number": "708-799-4488",
            "fax_number": "708-799-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19710 GOVERNORS HWY",
            "address_2": "SUITE #4",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222080",
            "telephone_number": "708-799-4488",
            "fax_number": "708-799-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.A. BERQUIST, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "BERQUIST",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "708-799-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19-011929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey L Proby
• Rachel Lynn Proud, MT
• Puray Medical Associates, LTD
• Cesar M Puray, M.D.
• Milagros Puray, M.D.
• Akbar Rahmani, M.D.
• Solmaz Rahmani, DO
• Rebecca Testa Pediatric Dental Specialist PLLC
• Reclaim Vitality LLC
• Arathi Reddy, PHARM D

• General Practice Dentistry in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.