NPIMap

Organization Active NPI

Van Dyke Pasinski DDS

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1710306972
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.027362 Issued in IL
Legal business name
VAN DYKE PASINSKI DDS
Practice address
127 Aurora Ave
Naperville, IL 60540-6503
Phone
(630) 579-6000
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Dr. Angelica Van DykeNPI 1124225826
Title
Dentist
Phone
(630) 579-6000

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 019.027362 IL Primary

Addresses

Primary practice location

127 Aurora Ave
Naperville, IL 60540-6503

Mailing address

127 Aurora Ave
Naperville, IL 60540-6503
Phone (630) 579-6000

Other names 1

  • RiverWalk Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

127 Aurora Ave
Naperville, IL 60540
Phone (630) 579-6000

Practitioners & affiliated clinicians

Practitioners 4

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": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1710306972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 AURORA AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406503",
            "telephone_number": "630-579-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 AURORA AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406503",
            "telephone_number": "630-579-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN DYKE PASINSKI DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "VAN DYKE",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-579-6000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiverWalk Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.