NPIMap

Organization Active NPI

Apex Dental Studio

  • Dentist
  • Frankfort, IL
National Provider Identifier
1629215199
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019027085 Issued in IL
Legal business name
APEX DENTAL STUDIO
Practice address
346 N Lagrange Rd
Frankfort, IL 60423-2008
Phone
(815) 464-1200
Fax
(815) 464-1291
NPI assigned
Jan 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Syed Bilal Yusaf, DDSNPI 1053476994
Title
President
Phone
(815) 464-1200

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019027085 IL Primary

Addresses

Primary practice location

346 N Lagrange Rd
Frankfort, IL 60423-2008

Mailing address

346 N Lagrange Rd
Frankfort, IL 60423-2008
Phone (815) 464-1200

National Provider Directory

National Provider Directory

Locations

346 N Lagrange Rd
Frankfort, IL 60423
Phone (815) 464-1200

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": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1629215199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 N LAGRANGE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232008",
            "telephone_number": "815-464-1200",
            "fax_number": "815-464-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 N LAGRANGE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232008",
            "telephone_number": "815-464-1200",
            "fax_number": "815-464-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "YUSAF",
        "authorized_official_first_name": "SYED BILAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-464-1200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.