NPIMap

Organization Active NPI

Total Health Sleep & Dental, LLC

  • Dental Clinic/Center
  • South Elgin, IL
National Provider Identifier
1750805354
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019022187 Issued in IL
Legal business name
TOTAL HEALTH SLEEP & DENTAL, LLC
Practice address
87 S McLean Blvd Ste B
South Elgin, IL 60177-1837
Phone
(847) 888-8311
NPI assigned
Jul 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Authorized official

Name
Anthony Bennardo, D.D.S.
Title
Owner
Phone
(847) 888-8311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019022187 IL Primary

Addresses

Primary practice location

87 S McLean Blvd Ste B
South Elgin, IL 60177-1837

Mailing address

87 S McLean Blvd Ste B
South Elgin, IL 60177-1837
Phone (847) 888-8311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1750805354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 S MCLEAN BLVD STE B",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771837",
            "telephone_number": "847-888-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 S MCLEAN BLVD STE B",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771837",
            "telephone_number": "847-888-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH SLEEP & DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "BENNARDO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-888-8311",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019022187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.