Organization Active NPI

Distinctive Dental Care of Bloomingdale

  • Dental Clinic/Center
  • Bloomingdale, IL
National Provider Identifier
1760354807
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Husna Khan, DDSNPI 1952970493
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.