NPIMap

Organization Active NPI

Russell T. Ras, DDS,LTD.

  • Dental Clinic/Center
  • Countryside, IL
National Provider Identifier
1598988065
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019.020398 Issued in IL
Legal business name
RUSSELL T. RAS, DDS,LTD.
Practice address
6538 Joliet Rd
Countryside, IL 60525-4649
Phone
(708) 354-2227
Fax
(708) 354-2367
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Russell Thomas Ras, DDSNPI 1326261884
Title
Owner
Phone
(708) 354-2227

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 019.020398 IL Primary

Addresses

Primary practice location

6538 Joliet Rd
Countryside, IL 60525-4649

Mailing address

6538 Joliet Rd
Countryside, IL 60525-4649
Phone (708) 354-2227

National Provider Directory

National Provider Directory

Locations

6538 Joliet Rd
Countryside, IL 60525
Phone (708) 354-2227

Practitioners & affiliated clinicians

Practitioners 1

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1598988065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6538 JOLIET RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605254649",
            "telephone_number": "708-354-2227",
            "fax_number": "708-354-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6538 JOLIET RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605254649",
            "telephone_number": "708-354-2227",
            "fax_number": "708-354-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL T. RAS, DDS,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "RAS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-354-2227",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019.020398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Countryside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.