Active NPI
Behles Family Dental Care, LLC
- General Practice Dentistry
- Evanston, IL
National Provider Identifier
1598985046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019-019556
- Legal business name
- BEHLES FAMILY DENTAL CARE, LLC
- Practice address
- 500 Davis St
Suite 106
Evanston, IL 60201-4668 - Phone
- (847) 328-8990
- Fax
- (847) 328-9075
- NPI assigned
- Apr 26, 2007
- Last updated
- May 6, 2010
- 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
- Ms. Sheila M Miguel
- Title
- Office Manager
- Phone
- (847) 328-8990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019-019556 | IL | Primary |
Addresses
Primary practice location
500 Davis St
Suite 106
Evanston, IL 60201-4668
Mailing address
500 Davis St
Suite 106
Evanston, IL 60201-4668
Phone (847) 328-8990
National Provider Directory
National Provider DirectoryLocations
500 Davis St
Ste 106
Evanston, IL 60201
Phone (310) 418-6806
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273104000000",
"number": "1598985046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 DAVIS ST",
"address_2": "SUITE 106",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014668",
"telephone_number": "847-328-8990",
"fax_number": "847-328-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DAVIS ST",
"address_2": "SUITE 106",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014668",
"telephone_number": "847-328-8990",
"fax_number": "847-328-9075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHLES FAMILY DENTAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2010-05-06",
"status": "A",
"authorized_official_last_name": "MIGUEL",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "847-328-8990",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019-019556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.