Active NPI
Tongue N Chic Dental Boutique
- General Practice Dentistry
- Elgin, IL
National Provider Identifier
1821240169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Dental Hygienist | 124Q00000X | |||
| Dermatology Physician | 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 DirectoryLocations
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.