NPIMap

Organization Active NPI

A Brush With Dentistry II, P.C.

  • Dental Clinic/Center
  • Dixon, IL
National Provider Identifier
1689065799
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019-027415 Issued in IL
Legal business name
A BRUSH WITH DENTISTRY II, P.C.
Practice address
108 N Peoria Ave
Dixon, IL 61021-2027
Phone
(815) 288-1418
Fax
(815) 288-1419
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Dr. Shailee S Patel
Title
Owner
Phone
(312) 217-4490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019-027415 IL Primary

Addresses

Primary practice location

108 N Peoria Ave
Dixon, IL 61021-2027

Mailing address

108 N Peoria Ave
Dixon, IL 61021-2027
Phone (815) 288-1418

National Provider Directory

National Provider Directory

Locations

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

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": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1689065799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N PEORIA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212027",
            "telephone_number": "815-288-1418",
            "fax_number": "815-288-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 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 II, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHAILEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-217-4490",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 10, 2015; 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.