NPIMap

Organization Active NPI

Cosmetic and Implant Dental Center

  • General Practice Dentistry
  • Lincolnwood, IL
National Provider Identifier
1699028167
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019017109 Issued in IL
Legal business name
COSMETIC AND IMPLANT DENTAL CENTER
Practice address
6921 N Lincoln Ave
Lincolnwood, IL 60712-2605
Phone
(847) 675-7010
Fax
(847) 675-7716
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Dr. Robert Bruce Silvers, D.M.D.
Title
Dentist
Phone
(847) 675-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019017109 IL Primary

Addresses

Primary practice location

6921 N Lincoln Ave
Lincolnwood, IL 60712-2605

Mailing address

6921 N Lincoln Ave
Lincolnwood, IL 60712-2605
Phone (847) 675-7010

National Provider Directory

National Provider Directory
Tax ID family
Cosmetic and Implant Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6921 N Lincoln Ave
Lincolnwood, IL 60712
Phone (847) 675-7010

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1699028167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6921 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122605",
            "telephone_number": "847-675-7010",
            "fax_number": "847-675-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6921 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122605",
            "telephone_number": "847-675-7010",
            "fax_number": "847-675-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC AND IMPLANT DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "SILVERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-675-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.