Parkview Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

019025365 Issued in IL

Legal business name

PARKVIEW DENTAL, LLC

Practice address

728 S Main St
Columbia, IL 62236-2429

Phone

(618) 281-1888

Fax

(618) 281-1889

NPI assigned

Sep 20, 2006

Last updated

Feb 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Scott PugedaNPI 1639343023

Title

DMD

Phone

(618) 281-1888

Specialties & licenses 1

Addresses

Locations

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.

• Christopher S Pugeda, D.M.D.

  • General Practice Dentistry
  • Columbia, IL
  • NPI 1639343023
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1881791002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 S MAIN ST",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362429",
            "telephone_number": "618-281-1888",
            "fax_number": "618-281-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 S MAIN ST",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362429",
            "telephone_number": "618-281-1888",
            "fax_number": "618-281-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "PUGEDA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "618-281-1888",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthodontic Associates of Columbia and Waterloo
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• Shanon M Osinski, A.A.S.-HIS, BC-HIS
• Tina Marie Overbey, MSW
• Cody Overmann, PHARM. D.
• Nolan Thomas Pashia, NREMT
• Patricia a. Roosevelt LLC (Dare to Hope Counseling)
• Dana Patrick-Byrd
• Taylor Pavlak, DPT
• PC Associates, LLC

• Dentist in Columbia, IL
• Providers in Columbia, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.