Organization Active NPI

Behles Family Dental Care, LLC

  • General Practice Dentistry
  • Evanston, IL
National Provider Identifier
1598985046
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-019556 Issued in IL
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.