NPIMap

Organization Active NPI

Associated Dentists, PC

  • General Practice Dentistry
  • Pontiac, IL
National Provider Identifier
1619946878
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
06000956 Issued in IL
Legal business name
ASSOCIATED DENTISTS, PC
Practice address
519 N Plum St
Pontiac, IL 61764-1818
Phone
(815) 844-6184
Fax
(815) 844-1071
NPI assigned
Mar 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James A Day, D.D.S.NPI 1457438731
Title
President
Phone
(815) 844-6184

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 Dentistry 1223G0001X 06000956 IL Primary

Addresses

Primary practice location

519 N Plum St
Pontiac, IL 61764-1818

Mailing address

519 N Plum St
Pontiac, IL 61764-1818
Phone (815) 844-6184

National Provider Directory

National Provider Directory

Locations

519 N Plum St
Pontiac, IL 61764
Phone (815) 844-6148

Practitioners & affiliated clinicians

Practitioners 8

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": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619946878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N PLUM ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641818",
            "telephone_number": "815-844-6184",
            "fax_number": "815-844-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N PLUM ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641818",
            "telephone_number": "815-844-6184",
            "fax_number": "815-844-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED DENTISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-844-6184",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "06000956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.