Ev Dental Health PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

EV DENTAL HEALTH PC

Practice address

323 N Seymour Ave
Mundelein, IL 60060-2305

Phone

(847) 566-7522

Fax

(847) 566-7531

NPI assigned

Jul 23, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Eduard Vernovsky, DDS

Title

President

Phone

(224) 392-9450

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1700439262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N SEYMOUR AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602305",
            "telephone_number": "847-566-7522",
            "fax_number": "847-566-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N SEYMOUR AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602305",
            "telephone_number": "847-566-7522",
            "fax_number": "847-566-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EV DENTAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "VERNOVSKY",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-392-9450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.