Premier Dental Care P.C

Primary specialty

DentistTaxonomy code 122300000X

License

019028601 Issued in IL

Legal business name

PREMIER DENTAL CARE P.C

Practice address

6235 S Kedzie Ave
Chicago, IL 60629-3304

Phone

(630) 863-8342

NPI assigned

Nov 18, 2014

Last updated

Nov 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tariq Riyal, D.D.S, M.P.PNPI 1083907828

Title

President/Dentist

Phone

(630) 863-8342

Specialties & licenses 1

Addresses

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.

• Tariq Riyal, D.D.S

  • General Practice Dentistry
  • Naperville, IL
  • NPI 1083907828
  Authorized official Same address or phone

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1700282795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224723",
            "telephone_number": "630-863-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6235 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293304",
            "telephone_number": "630-863-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL CARE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "RIYAL",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "630-863-8342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S, M.P.P"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Komal Prem, M.D.
• Courtney Premer-Barragan, MD, PHD
• Premier Cardiovascular Institute Inc
• Premier Chiro PC
• Premier Communications & Marketing LLC (Premier 1 Medical Transport)
• Premier Dentistry at Millennium Park LLC
• Premier ER Services, LLC
• Premier Health Network LLC (Premier Urgent Care and Occ-Health Center)
• Premier Health Services, Inc (MRI of River North)
• Premier Home Health Care, Inc.

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.