Organization Active NPI

Partridge Dental, Prof. Corp.

  • Dental Clinic/Center
  • Des Plaines, IL
National Provider Identifier
1598390577
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PARTRIDGE DENTAL, PROF. CORP.
Practice address
690 1St Ave
Des Plaines, IL 60016-9110
Phone
(847) 635-6268
Fax
(847) 635-5598
NPI assigned
Mar 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Dr. Andrew Michael Partridge, DDSNPI 1326431362
Title
Owner
Phone
(847) 635-6268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

690 1St Ave
Des Plaines, IL 60016-9110

Mailing address

690 1St Ave
Des Plaines, IL 60016-9110
Phone (847) 635-6268

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL contactus@partridgedental.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1598390577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 1ST AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600169110",
            "telephone_number": "847-635-6268",
            "fax_number": "847-635-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 1ST AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600169110",
            "telephone_number": "847-635-6268",
            "fax_number": "847-635-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTRIDGE DENTAL, PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "PARTRIDGE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-635-6268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "contactus@partridgedental.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "690 1st Ave",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600169110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.