NPIMap

Organization Active NPI

Kids Plus Pediatric Dentistry

  • Pediatric Dentistry
  • Lemont, IL
National Provider Identifier
1780092437
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
019023892 Issued in IL
Legal business name
KIDS PLUS PEDIATRIC DENTISTRY
Practice address
15900 W 127TH St
Lemont, IL 60439-2910
Phone
(630) 243-6200
Fax
(630) 733-2448
NPI assigned
Jul 25, 2014
Last updated
Jul 25, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
KIDS PLUS PEDIATRIC DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Dr. Denise Fisher
Title
President
Phone
(630) 243-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 019023892 IL Primary

Addresses

Primary practice location

15900 W 127TH St
Lemont, IL 60439-2910

Mailing address

15900 W 127TH St
Lemont, IL 60439-2910
Phone (630) 243-6200

National Provider Directory

National Provider Directory
Tax ID family
Kids Plus Pediatric Dentistry4 organizations share this tax ID, including this one
Part of
Kids Plus Pediatric Dentistry

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1780092437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 W 127TH ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604392910",
            "telephone_number": "630-243-6200",
            "fax_number": "630-733-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 W 127TH ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604392910",
            "telephone_number": "630-243-6200",
            "fax_number": "630-733-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS PLUS PEDIATRIC DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDS PLUS PEDIATRIC DENTISTRY",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-243-6200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019023892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.