NPIMap

Organization Active NPI

Baker Hill Dental PC

  • General Practice Dentistry
  • Glen Ellyn, IL
National Provider Identifier
1720319072
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BAKER HILL DENTAL PC
Practice address
904 Roosevelt Rd
Glen Ellyn, IL 60137-7829
Phone
(630) 469-4500
Fax
(630) 469-5300
NPI assigned
Jan 27, 2010
Last updated
Jan 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Reem Shafi, DDS
Title
Owner
Phone
(630) 631-1790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

904 Roosevelt Rd
Glen Ellyn, IL 60137-7829

Mailing address

904 Roosevelt Rd
Glen Ellyn, IL 60137-7829
Phone (630) 469-4500

National Provider Directory

National Provider Directory

Locations

904 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 469-4500

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1720319072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 ROOSEVELT RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377829",
            "telephone_number": "630-469-4500",
            "fax_number": "630-469-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 ROOSEVELT RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377829",
            "telephone_number": "630-469-4500",
            "fax_number": "630-469-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER HILL DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "REEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-631-1790",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.