Organization Active NPI

Access Dental Center

  • General Practice Dentistry
  • Addison, IL
National Provider Identifier
1730340779
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019022472 Issued in IL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. Imaad Shaikh, DENTISTNPI 1538205695
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.