Active NPI
Distinctive Dental Care of Bloomingdale
- Dental Clinic/Center
- Bloomingdale, IL
National Provider Identifier
1760354807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DISTINCTIVE DENTAL CARE OF BLOOMINGDALE
- Doing business as
- Serenity Dental of Bloomingdale
- Practice address
- 1 Tiffany PT Ste 205
Bloomingdale, IL 60108-2916 - Phone
- (630) 359-0105
- Fax
- (630) 523-9105
- NPI assigned
- Sep 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Husna Khan, DDS
- Title
- Dentist/Owner
- Phone
- (630) 751-9716
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1 Tiffany PT Ste 205
Bloomingdale, IL 60108-2916
Mailing address
1 Tiffany PT Ste 205
Bloomingdale, IL 60108-2916
Phone (630) 359-0105
Other names 1
- Serenity Dental of Bloomingdale
National Provider Directory
National Provider DirectoryLocations
1 Tiffany Pt
Ste 205
Bloomingdale, IL 60108
Phone (630) 359-0105
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Bloomingdale, IL
- NPI 1952970493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1760354807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 TIFFANY PT STE 205",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082916",
"telephone_number": "630-359-0105",
"fax_number": "630-523-9105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TIFFANY PT STE 205",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082916",
"telephone_number": "630-359-0105",
"fax_number": "630-523-9105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISTINCTIVE DENTAL CARE OF BLOOMINGDALE",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-18",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "HUSNA",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "630-751-9716",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Serenity Dental of Bloomingdale",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.