NPIMap

Organization Active NPI

Malin Botvinnik DDS PC

  • General Practice Dentistry
  • Mt Prospect, IL
National Provider Identifier
1710012976
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19025072 Issued in IL
Legal business name
MALIN BOTVINNIK DDS PC
Practice address
322 N Wolf Rd
Mt Prospect, IL 60056-2735
Phone
(847) 824-5151
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Dr. Bianca Malin, DDSNPI 1770654253
Title
Owner President
Phone
(847) 824-5151

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19025072 IL Primary

Addresses

Primary practice location

322 N Wolf Rd
Mt Prospect, IL 60056-2735

Mailing address

322 N Wolf Rd
Mt Prospect, IL 60056-2735
Phone (847) 824-5151

Other names 1

  • Smiling Patient Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

322 N Wolf Rd
Mt Prospect, IL 60056
Phone (847) 824-5151

Practitioners & affiliated clinicians

Practitioners 2

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1710012976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 N WOLF RD",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600562735",
            "telephone_number": "847-824-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N WOLF RD",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600562735",
            "telephone_number": "847-824-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIN BOTVINNIK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "MALIN",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "847-824-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19025072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiling Patient Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.