NPIMap

Organization Active NPI

Dentists R US

  • Dentist
  • Lake Forest, IL
National Provider Identifier
1619219177
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.028536 Issued in IL
Legal business name
DENTISTS R US
Practice address
100 Saunders Rd
Suite 150
Lake Forest, IL 60045-2502
Phone
(847) 574-6345
Fax
(847) 574-6346
NPI assigned
Mar 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Dr. Sheretta Oates, DDS
Title
President
Phone
(248) 879-7755

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 019.029095 IL
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 019.028536 IL Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 019.021000 IL
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 019.027578 IL
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 019.026049 IL
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 019.028449 IL

Addresses

Primary practice location

100 Saunders Rd
Suite 150
Lake Forest, IL 60045-2502

Mailing address

100 Saunders Rd
Suite 150
Lake Forest, IL 60045-2502
Phone (847) 574-6345

National Provider Directory

National Provider Directory
Tax ID family
Dentists R US3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1619219177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SAUNDERS RD",
            "address_2": "SUITE 150",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452502",
            "telephone_number": "847-574-6345",
            "fax_number": "847-574-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAUNDERS RD",
            "address_2": "SUITE 150",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452502",
            "telephone_number": "847-574-6345",
            "fax_number": "847-574-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS R US",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "OATES",
        "authorized_official_first_name": "SHERETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-879-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029095",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.028536",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.021000",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.027578",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.026049",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.028449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.