Organization Active NPI

Benjamin a. Baptist DDS PC

  • Dental Clinic/Center
  • North Riverside, IL
National Provider Identifier
1881108249
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019027932 Issued in IL
Legal business name
BENJAMIN A. BAPTIST DDS PC
Practice address
2530 Burr Oak Ave
North Riverside, IL 60546-1515
Phone
(708) 442-7414
NPI assigned
Nov 21, 2017
Last updated
Nov 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Authorized official

Name
Dr. Benjamin A Baptist, DDS
Title
President/Ceo
Phone
(708) 442-7414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019027932 IL Primary

Addresses

Primary practice location

2530 Burr Oak Ave
North Riverside, IL 60546-1515

Mailing address

2530 Burr Oak Ave
North Riverside, IL 60546-1515
Phone (708) 442-7414

National Provider Directory

National Provider Directory

Locations

2530 Burr Oak Ave
North Riverside, IL 60546
Phone (708) 442-7414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1881108249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 BURR OAK AVE",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461515",
            "telephone_number": "708-442-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 BURR OAK AVE",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461515",
            "telephone_number": "708-442-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN A. BAPTIST DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "BAPTIST",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "708-442-7414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019027932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Riverside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.