MD Yorkville LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027319 Issued in IL

Legal business name

MD YORKVILLE LLC

Practice address

728 E. Veterans Parkway
Suite 113
Yorkville, IL 60560

Phone

(630) 553-2505

NPI assigned

Aug 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Eric Mitra, DDSNPI 1689872939

Title

Member

Phone

(630) 553-2505

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Eric Mitra, D.D.S.

  • Dentist
  • Yorkville, IL
  • NPI 1689872939
  NPD (past) Authorized official

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1679972582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 E. VETERANS PARKWAY",
            "address_2": "SUITE 113",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "60560",
            "telephone_number": "630-553-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 E. VETERANS PARKWAY",
            "address_2": "SUITE 113",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "60560",
            "telephone_number": "630-553-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD YORKVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "MITRA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-553-2505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael G McDowell, DNP, PMHNP/FNP-BC
• Christine Anne McFarlane, SPEECH LANGUAGE PATH
• Melissa McGovern, FNP-BC
• Lisa Anne McGregor, M.H.S., CCC-SLP/L
• Jennifer Lynn McKay, PSYD
• Andrzej Michalik, PT
• Midwest Sleep Associates, LLC.
• Midwest Wellness Associates LLC
• Loriel Miller, LPC
• Rachel Ann Miller

• General Practice Dentistry in Yorkville, IL
• Providers in Yorkville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.