Crest Dental Group PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CREST DENTAL GROUP PC

Practice address

1354 W Army Trail Rd
Carol Stream, IL 60188-4836

Phone

(408) 480-4383

NPI assigned

Sep 26, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ramya Shetty, DDS

Title

President

Phone

(408) 480-4383

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1821573767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 COTTON CREEK CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644625",
            "telephone_number": "408-480-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 W ARMY TRAIL RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601884836",
            "telephone_number": "408-480-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "RAMYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-480-4383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imee Cordero, OTR
• Sarah Margaret Cosentino, ATC
• Melissa Ann Costner, RDH
• Dale Cress, D.C.
• Crest Dental Care PC
• Crest Dental LLC
• Crestwood Counseling LLC
• Nenita P Cudiamat
• John Rairdon Curphey, MDIV.,M.A.
• Kayla Lynn Czapiewski

• Dental Clinic/Center in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.