NPIMap

Organization Active NPI

Scott W. Clinton, D.D.S.,P.C.

  • General Practice Dentistry
  • Des Plaines, IL
National Provider Identifier
1710155825
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SCOTT W. CLINTON, D.D.S.,P.C.
Practice address
1011 E. Touhy Ave
Des Plaines, IL 60018-1958
Phone
(847) 376-8824
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Dr. Scott Walter ClintonNPI 1811076094
Title
President
Phone
(847) 376-8824

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 Primary

Addresses

Primary practice location

1011 E. Touhy Ave
Des Plaines, IL 60018-1958

Mailing address

1011 E. Touhy Avenue
Des Plaines, IL 60018
Phone (847) 376-8824

National Provider Directory

National Provider Directory

Locations

1011 E Touhy Ave
Des Plaines, IL 60018
Phone (847) 376-8824

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": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1710155825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 E. TOUHY AVENUE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60018",
            "telephone_number": "847-376-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E. TOUHY AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181958",
            "telephone_number": "847-376-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT W. CLINTON, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "CLINTON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-376-8824",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.