Organization Active NPI

Joseph W Mitchell Jr. DDS

  • General Practice Dentistry
  • Schaumburg, IL
National Provider Identifier
1750643268
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019017484 Issued in IL
Legal business name
JOSEPH W MITCHELL JR. DDS
Practice address
1880 N Roselle Rd
Suite 201
Schaumburg, IL 60195-3197
Phone
(847) 884-0960
Fax
(847) 884-9798
NPI assigned
Jun 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Joseph William Mitchell Jr., DDSNPI 1528104296
Title
Dentist/Owner
Phone
(847) 884-0960

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 019017484 IL Primary

Addresses

Primary practice location

1880 N Roselle Rd
Suite 201
Schaumburg, IL 60195-3197

Mailing address

1880 N Roselle Rd
Suite 201
Schaumburg, IL 60195-3197
Phone (847) 884-0960

National Provider Directory

National Provider Directory

Locations

80 W Hillcrest Blvd
Ste 201
Schaumburg, IL 60195
Phone (847) 884-0960

Practitioners & affiliated clinicians

Practitioners 1

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": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1750643268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 N ROSELLE RD",
            "address_2": "SUITE 201",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953197",
            "telephone_number": "847-884-0960",
            "fax_number": "847-884-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N ROSELLE RD",
            "address_2": "SUITE 201",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953197",
            "telephone_number": "847-884-0960",
            "fax_number": "847-884-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH W MITCHELL JR. DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "847-884-0960",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.