NPIMap

Organization Active NPI

Sapphire Dental LLC

  • Dental Clinic/Center
  • McHenry, IL
National Provider Identifier
1861895468
Registry record updated Sep 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019.030054 Issued in IL
Legal business name
SAPPHIRE DENTAL LLC
Practice address
727 Ridgeview Dr
McHenry, IL 60050-7054
Phone
(847) 977-7851
Fax
(847) 307-5178
NPI assigned
Sep 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2014

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

Authorized official

Name
Dr. Ieva Dabeka, D.D.S.
Title
General Dentist
Phone
(847) 977-7851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019.030054 IL Primary

Addresses

Primary practice location

727 Ridgeview Dr
McHenry, IL 60050-7054

Mailing address

2775 Algonquin Rd
Suite 200
Rolling Meadows, IL 60008-3829
Phone (847) 977-7851

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411776000000",
    "number": "1861895468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 ALGONQUIN RD",
            "address_2": "SUITE 200",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083829",
            "telephone_number": "847-977-7851",
            "fax_number": "847-307-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 RIDGEVIEW DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507054",
            "telephone_number": "847-977-7851",
            "fax_number": "847-307-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-27",
        "last_updated": "2014-09-27",
        "status": "A",
        "authorized_official_last_name": "DABEKA",
        "authorized_official_first_name": "IEVA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "847-977-7851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019.030054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2014; 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.