NPIMap

Organization Active NPI

Tru Dental Illinois, P.C.

  • General Practice Dentistry
  • Beecher, IL
National Provider Identifier
1598347403
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRU DENTAL ILLINOIS, P.C.
Practice address
526 Dixie Hwy
Beecher, IL 60401-3698
Phone
(708) 946-9494
Fax
(708) 946-9494
NPI assigned
Apr 21, 2021
Organization subpart
Yes
Parent organization
TRU DENTAL ILLINOIS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

526 Dixie Hwy
Beecher, IL 60401-3698

Mailing address

526 Dixie Hwy
Beecher, IL 60401-3698
Phone (708) 946-9494

Other names 1

  • Tru Family Dental - Beecher Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tru Dental Illinois PC8 organizations share this tax ID, including this one
Part of
Tru Dental Illinois PC

Other organizations with this tax ID 7

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

Locations

526 Dixie Hwy
Beecher, IL 60401
Phone (708) 946-9494

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1598347403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 DIXIE HWY",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604013698",
            "telephone_number": "708-946-9494",
            "fax_number": "708-946-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 DIXIE HWY",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604013698",
            "telephone_number": "708-946-9494",
            "fax_number": "708-946-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU DENTAL ILLINOIS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRU DENTAL ILLINOIS, P.C.",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tru Family Dental - Beecher",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beecher, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.