NPIMap

Organization Active NPI

Quintessential Dental

Doing business as Happy Tooth

  • General Practice Dentistry
  • Elmhurst, IL
National Provider Identifier
1598927733
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019026397 Issued in IL
Legal business name
QUINTESSENTIAL DENTAL
Doing business as
Happy Tooth
Practice address
132 N Addison Ave
Elmhurst, IL 60126-2864
Phone
(630) 834-4140
Fax
(630) 834-4577
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Maggie W Augustyn, DDS
Title
President/Dentist
Phone
(630) 834-4140

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019026397 IL Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019025217 IL

Addresses

Primary practice location

132 N Addison Ave
Elmhurst, IL 60126-2864

Mailing address

132 N Addison Ave
Elmhurst, IL 60126-2864
Phone (630) 834-4140

Other names 1

  • Happy Tooth Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Happy Tooth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

132 N Addison Ave
Elmhurst, IL 60126
Phone (630) 834-4140

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": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1598927733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 N ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262864",
            "telephone_number": "630-834-4140",
            "fax_number": "630-834-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 N ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262864",
            "telephone_number": "630-834-4140",
            "fax_number": "630-834-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTESSENTIAL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "AUGUSTYN",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "630-834-4140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026397",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Tooth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.