NPIMap

Organization Active NPI

Dental Town Summit

  • General Practice Dentistry
  • Summit, IL
National Provider Identifier
1689114332
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL TOWN SUMMIT
Practice address
5836 S Harlem Ave
Summit, IL 60501-1407
Phone
(708) 863-2000
NPI assigned
Feb 28, 2017
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Dr. Sinan Razzak, DDSNPI 1295935369
Title
President
Phone
(312) 810-2948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5836 S Harlem Ave
Summit, IL 60501-1407

Mailing address

5836 S Harlem Ave
Summit, IL 60501-1407

National Provider Directory

National Provider Directory

Locations

5836 S Harlem Ave
Summit, IL 60501
Phone (708) 863-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1689114332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5836 S HARLEM AVE",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5836 S HARLEM AVE",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011407",
            "telephone_number": "708-863-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL TOWN SUMMIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "RAZZAK",
        "authorized_official_first_name": "SINAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-810-2948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, 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.