NPIMap

Organization Active NPI

Dupage Dental Care Inc

  • General Practice Dentistry
  • Carol Stream, IL
National Provider Identifier
1770644635
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DUPAGE DENTAL CARE INC
Practice address
206 N Gary Avenue
Carol Stream, IL 60188-1834
Phone
(630) 665-2147
Fax
(630) 665-6980
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Firdaus S Jafri, DDSNPI 1790020337
Title
Dr Dentist President
Phone
(630) 665-2147

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 IL Primary

Addresses

Primary practice location

206 N Gary Avenue
Carol Stream, IL 60188-1834

Mailing address

206 N Gary Avenue
Carol Stream, IL 60188-1834
Phone (630) 665-2147

National Provider Directory

National Provider Directory

Locations

206 N Gary Ave
Carol Stream, IL 60188
Phone (630) 665-2147

Practitioners & affiliated clinicians

Practitioners 3

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770644635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N GARY AVENUE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881834",
            "telephone_number": "630-665-2147",
            "fax_number": "630-665-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N GARY AVENUE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881834",
            "telephone_number": "630-665-2147",
            "fax_number": "630-665-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE DENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAFRI",
        "authorized_official_first_name": "FIRDAUS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DR DENTIST PRESIDENT",
        "authorized_official_telephone_number": "630-665-2147",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.