Organization Active NPI

Albert Dental Professionals, PC

Doing business as Atrium Family Dental

  • General Practice Dentistry
  • New Lenox, IL
National Provider Identifier
1750878005
Registry record updated Apr 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019026818 Issued in IL
Legal business name
ALBERT DENTAL PROFESSIONALS, PC
Doing business as
Atrium Family Dental
Practice address
1938 E Lincoln Hwy Ste 104
New Lenox, IL 60451-3843
Phone
(815) 462-9990
NPI assigned
Apr 21, 2018
Last updated
Apr 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2018

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

Authorized official

Name
Sherif Albert, DDS
Title
Dentist
Phone
(815) 462-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019026818 IL Primary

Addresses

Primary practice location

1938 E Lincoln Hwy Ste 104
New Lenox, IL 60451-3843

Mailing address

1938 E Lincoln Hwy Ste 104
New Lenox, IL 60451-3843
Phone (815) 462-9990

Other names 1

  • Atrium Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1938 E Lincoln Hwy
Ste 104
New Lenox, IL 60451
Phone (815) 215-1130

NPI Registry JSON

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

{
    "created_epoch": "1524268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524268800000",
    "number": "1750878005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 E LINCOLN HWY STE 104",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513843",
            "telephone_number": "815-462-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 E LINCOLN HWY STE 104",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513843",
            "telephone_number": "815-462-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT DENTAL PROFESSIONALS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-21",
        "last_updated": "2018-04-21",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "815-462-9990",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atrium Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2018; 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.