Active NPI
Access Dental Center
- General Practice Dentistry
- Addison, IL
National Provider Identifier
1730340779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019022472
- Legal business name
- ACCESS DENTAL CENTER
- Practice address
- 276 W Fullerton Ave
Addison, IL 60101-3767 - Phone
- (630) 628-8884
- NPI assigned
- Jun 23, 2008
- Last updated
- Jun 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Imaad Shaikh, DENTIST
- Title
- President
- Phone
- (630) 628-8884
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019022472 | IL | Primary |
Addresses
Primary practice location
276 W Fullerton Ave
Addison, IL 60101-3767
Mailing address
276 W Fullerton Ave
Addison, IL 60101-3767
Phone (630) 628-8884
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Addison, IL
- NPI 1538205695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1730340779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 W FULLERTON AVE",
"city": "ADDISON",
"state": "IL",
"postal_code": "601013767",
"telephone_number": "630-628-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 W FULLERTON AVE",
"city": "ADDISON",
"state": "IL",
"postal_code": "601013767",
"telephone_number": "630-628-8884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCESS DENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-23",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "SHAIKH",
"authorized_official_first_name": "IMAAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-628-8884",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DENTIST"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019022472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, IL
- 1St Family Dental of Addison PC
- A to Z Pediatric and Youth Healthcare
- Cindy Abundiz
- Access Community Health Network
- Access Community Health Network
- Ad-Park Pediatric Associates, S.C.
- Addison Behavioral Health LLC
- Addison Fire Protection District No 1
- Addison Medical Associates LTD (Medical Square)
- Addison Medical Office, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.