Advanced Family Dental & Orthodontics of Woodridge, PC

Primary specialty

DentistTaxonomy code 122300000X

License

019016447 Issued in IL

Legal business name

ADVANCED FAMILY DENTAL & ORTHODONTICS OF WOODRIDGE, PC

Practice address

3510 Hobson Rd
Woodridge, IL 60517-1439

Phone

(815) 741-1700

Fax

(815) 483-2298

NPI assigned

Dec 29, 2014

Last updated

Dec 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Rubis, DDSNPI 1699873588

Title

President

Phone

(815) 741-1700

Specialties & licenses 1

Addresses

Locations

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.

• David Joseph Rubis, D.D.S.

  • Dentist
  • Crest Hill, IL
  • NPI 1699873588
  Authorized official Same address or phone

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1730577750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 HOBSON RD",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171439",
            "telephone_number": "815-741-1700",
            "fax_number": "815-483-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 HOBSON RD",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171439",
            "telephone_number": "815-741-1700",
            "fax_number": "815-483-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY DENTAL & ORTHODONTICS OF WOODRIDGE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "RUBIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-741-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019016447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Najeeb M Abufarha, DMD
• Jasmin Acevedo, APRN
• Anne Adrian, LCPC
• Advance Life Management, LLC (Advance Lifecare Home Health)
• Advanced Audiology Consultants, LLC
• Advanced Fmaily Dental & Orthodontics, P.C.
• Advanced Life Management LLC
• Advanced Wellness Center LTD
• Advanced Wellness Center, LTD
• Advanced Wellness Medical, LLC

• Dentist in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.