NPIMap

Organization Active NPI

A Brush With Dentistry, P.C.

  • General Practice Dentistry
  • Dixon, IL
National Provider Identifier
1669735767
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.027415 Issued in IL
Legal business name
A BRUSH WITH DENTISTRY, P.C.
Practice address
100 N Peoria Ave
Dixon, IL 61021-2027
Phone
(815) 288-1418
Fax
(815) 288-1419
NPI assigned
Jun 22, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Shailee Shashi Patel, D.D.S.NPI 1518154624
Title
President
Phone
(312) 217-4490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

100 N Peoria Ave
Dixon, IL 61021
Phone (815) 288-1418

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019.027415 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

100 N Peoria Ave
Dixon, IL 61021-2027

Mailing address

223 Grand Oaks LN
Dixon, IL 61021-3220
Phone (312) 217-4490

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2017.

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1669735767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 GRAND OAKS LN",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213220",
            "telephone_number": "312-217-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N PEORIA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212027",
            "telephone_number": "815-288-1418",
            "fax_number": "815-288-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BRUSH WITH DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHAILEE",
        "authorized_official_middle_name": "SHASHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-217-4490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.