Webster Dental Care of Mundelein, LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

01915631 Issued in IL

Legal business name

WEBSTER DENTAL CARE OF MUNDELEIN, LTD.

Practice address

444 Prospect Ave
Suite 2
Mundelein, IL 60060-1963

Phone

(847) 566-5100

Fax

(847) 566-5160

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Kathy Roden

Title

Office Manager

Phone

(847) 566-5100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vikram Sharma, DMD

  • Dentist
  • Mundelein, IL
  • NPI 1275028870
  NPD (past)

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1790190882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 PROSPECT AVE STE 2",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601963",
            "telephone_number": "847-566-5100",
            "fax_number": "847-566-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 PROSPECT AVE",
            "address_2": "SUITE 2",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601963",
            "telephone_number": "847-566-5100",
            "fax_number": "847-566-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER DENTAL CARE OF MUNDELEIN, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "RODEN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-566-5100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01915631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Warner
• Doreen Anne Wascow, DDS
• Calvin Waters
• Ashley R Watson, DMD
• WCS Chiropractic P.C.
• Keef Weinstein, LCPC
• Thomas Wells, DDS
• Why, Inc.
• Michelle Robin Wichter
• Susan Wisehart, M.S., NCSP, LMFT

• General Practice Dentistry in Mundelein, IL
• Providers in Mundelein, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.