Organization Active NPI

Leslee Rutherford DDS PC

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1871984708
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019026451 Issued in IL
Legal business name
LESLEE RUTHERFORD DDS PC
Practice address
1229 W Washington Blvd
Suite 110
Chicago, IL 60607-2132
Phone
(312) 487-1787
Fax
(877) 622-7078
NPI assigned
Feb 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Dr. Leslee Rutherford, D.D.S.
Title
Pediatric Dentist Owner
Phone
(312) 487-1787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019026451 IL Primary

Addresses

Primary practice location

1229 W Washington Blvd
Suite 110
Chicago, IL 60607-2132

Mailing address

1257 E 46TH St
1W
Chicago, IL 60653-4595
Phone (773) 678-6680

Other names 1

  • Smiles Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1229 W Washington Blvd
Ste 110
Chicago, IL 60607
Phone (312) 487-1787

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1871984708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 E 46TH ST",
            "address_2": "1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534595",
            "telephone_number": "773-678-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 W WASHINGTON BLVD",
            "address_2": "SUITE 110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072132",
            "telephone_number": "312-487-1787",
            "fax_number": "877-622-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLEE RUTHERFORD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "LESLEE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST OWNER",
        "authorized_official_telephone_number": "312-487-1787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019026451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.