Organization Active NPI

Tongue N Chic Dental Boutique

  • General Practice Dentistry
  • Elgin, IL
National Provider Identifier
1821240169
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TONGUE N CHIC DENTAL BOUTIQUE
Practice address
14 Douglas Ave
Elgin, IL 60120-5546
Phone
(847) 841-6665
Fax
(847) 841-6656
NPI assigned
Oct 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Dr. Brandon Farley Becker, DDS
Title
Ceo/Owner
Phone
(847) 841-6665

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X

Addresses

Primary practice location

14 Douglas Ave
Elgin, IL 60120-5546

Mailing address

14 Douglas Ave
Elgin, IL 60120-5546
Phone (847) 841-6665

National Provider Directory

National Provider Directory

Locations

14 Douglas Ave
Elgin, IL 60120
Phone (847) 841-6665

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1821240169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DOUGLAS AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205546",
            "telephone_number": "847-841-6665",
            "fax_number": "847-841-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DOUGLAS AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205546",
            "telephone_number": "847-841-6665",
            "fax_number": "847-841-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONGUE N CHIC DENTAL BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "FARLEY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "847-841-6665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.