NPIMap

Organization Active NPI

Dixon Family Dentistry, LLC

  • Dentist
  • Dixon, IL
National Provider Identifier
1699121681
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.028603 Issued in IL
Legal business name
DIXON FAMILY DENTISTRY, LLC
Practice address
1355 N Galena Ave
Dixon, IL 61021-1009
Phone
(815) 284-1995
Fax
(773) 887-4294
NPI assigned
May 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Dr. Jubrail Sweis, D.D.SNPI 1043506496
Title
Dentist/Owner
Phone
(773) 844-5283

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019.028603 IL Primary

Addresses

Primary practice location

1355 N Galena Ave
Dixon, IL 61021-1009

Mailing address

1355 N Galena Ave
Dixon, IL 61021-1009
Phone (815) 284-1995

National Provider Directory

National Provider Directory

Locations

1355 N Galena Ave
Dixon, IL 61021
Phone (815) 284-1186

Practitioners & affiliated clinicians

Practitioners 3

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": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1699121681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 N GALENA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211009",
            "telephone_number": "815-284-1995",
            "fax_number": "773-887-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 N GALENA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211009",
            "telephone_number": "815-284-1995",
            "fax_number": "773-887-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "SWEIS",
        "authorized_official_first_name": "JUBRAIL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "773-844-5283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.028603",
            "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 May 9, 2016; 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.