Organization Active NPI

Kashefi Dental, P.C.

Doing business as Buffalo Creek Dental

  • General Practice Dentistry
  • Buffalo Grove, IL
National Provider Identifier
1790998128
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025902 Issued in IL
Legal business name
KASHEFI DENTAL, P.C.
Doing business as
Buffalo Creek Dental
Practice address
135 N Arlington Heights Rd
Suite #170
Buffalo Grove, IL 60089-8213
Phone
(847) 541-0432
Fax
(847) 541-0453
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Dr. Roozbeh Kashefi, D.M.D.
Title
President
Phone
(847) 541-0432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019025902 IL Primary

Addresses

Primary practice location

135 N Arlington Heights Rd
Suite #170
Buffalo Grove, IL 60089-8213

Mailing address

135 N Arlington Heights Rd
Suite #170
Buffalo Grove, IL 60089-8213
Phone (847) 541-0432

Other names 1

  • Buffalo Creek Dental Doing business as

National Provider Directory

National Provider Directory

Locations

135 N Arlington Heights Rd
Ste 170
Buffalo Grove, IL 60089
Phone (847) 541-0432

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1790998128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE #170",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600898213",
            "telephone_number": "847-541-0432",
            "fax_number": "847-541-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE #170",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600898213",
            "telephone_number": "847-541-0432",
            "fax_number": "847-541-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASHEFI DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "KASHEFI",
        "authorized_official_first_name": "ROOZBEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-541-0432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buffalo Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.