NPIMap

Organization Active NPI

United Dental Centers

  • Dentist
  • Lansing, IL
National Provider Identifier
1629379680
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019017190 Issued in IL
Legal business name
UNITED DENTAL CENTERS
Practice address
18511 Torrence Ave
Suite 2B
Lansing, IL 60438-2851
Phone
(708) 474-5055
NPI assigned
Nov 8, 2010
Last updated
Nov 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Dr. Kenneth Fried, DDS
Title
President
Phone
(708) 474-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019017190 IL Primary

Addresses

Primary practice location

18511 Torrence Ave
Suite 2B
Lansing, IL 60438-2851

Mailing address

18511 Torrence Ave
Suite 2B
Lansing, IL 60438-2851
Phone (708) 474-5055

National Provider Directory

National Provider Directory
Tax ID family
United Dental Centers7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

18511 Torrence Ave
Ste 2B
Lansing, IL 60438
Phone (708) 474-5055

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1629379680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18511 TORRENCE AVE",
            "address_2": "SUITE 2B",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382851",
            "telephone_number": "708-474-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18511 TORRENCE AVE",
            "address_2": "SUITE 2B",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382851",
            "telephone_number": "708-474-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DENTAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-474-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019017190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.