Organization Active NPI

Integrity Dental Associates LLC

  • General Practice Dentistry
  • Bolingbrook, IL
National Provider Identifier
1619217965
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019028181 Issued in IL
Legal business name
INTEGRITY DENTAL ASSOCIATES LLC
Practice address
276 S Weber Rd Unit D
Bolingbrook, IL 60490-1549
Phone
(630) 312-8280
NPI assigned
Feb 25, 2013
Last updated
Feb 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Dr. Yingchun ZhuNPI 1811228554
Title
President
Phone
(734) 945-7128

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 019028181 IL Primary

Addresses

Primary practice location

276 S Weber Rd Unit D
Bolingbrook, IL 60490-1549

Mailing address

276 S Weber Rd Unit D
Bolingbrook, IL 60490-1549
Phone (630) 312-8280

National Provider Directory

National Provider Directory

Locations

276 S Weber Rd
Unit D
Bolingbrook, IL 60490
Phone (630) 312-8280

Practitioners & affiliated clinicians

Practitioners 3

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": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1619217965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 S WEBER RD UNIT D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604901549",
            "telephone_number": "630-312-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 S WEBER RD UNIT D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604901549",
            "telephone_number": "630-312-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "ZHU",
        "authorized_official_first_name": "YINGCHUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-945-7128",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.