NPIMap

Organization Active NPI

DST Dental, LLC

  • Dentist
  • West Chicago, IL
National Provider Identifier
1821462599
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DST DENTAL, LLC
Practice address
1933 Franciscan Way
West Chicago, IL 60185-6201
Phone
(630) 231-4500
NPI assigned
Nov 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Dr. Dhaval V Shah, D.M.D.
Title
Owner Dentist
Phone
(630) 965-8133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X IL Primary

Addresses

Primary practice location

1933 Franciscan Way
West Chicago, IL 60185-6201

Mailing address

1933 Franciscan Way
West Chicago, IL 60185-6201
Phone (630) 231-4500

Other names 1

  • North Ave Dental Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1821462599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 FRANCISCAN WAY",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601856201",
            "telephone_number": "630-231-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 FRANCISCAN WAY",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601856201",
            "telephone_number": "630-231-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DST DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DHAVAL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "630-965-8133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Ave Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.