NPIMap

Organization Active NPI

Forest Park Dental Associates LTD

  • Dental Clinic/Center
  • Forest Park, IL
National Provider Identifier
1891040176
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019017346 Issued in IL
Legal business name
FOREST PARK DENTAL ASSOCIATES LTD
Practice address
7742 Madison St
Forest Park, IL 60130-1404
Phone
(708) 209-1900
Fax
(708) 209-1973
NPI assigned
Jul 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Dr. Rashmikant Vora, DDSNPI 1023105046
Title
President
Phone
(708) 209-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019017346 IL Primary

Addresses

Primary practice location

7742 Madison St
Forest Park, IL 60130-1404

Mailing address

7742 Madison St
Forest Park, IL 60130-1404
Phone (708) 209-1900

National Provider Directory

National Provider Directory

Locations

7742 Madison St
Forest Park, IL 60130
Phone (708) 209-1900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1891040176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7742 MADISON ST",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301404",
            "telephone_number": "708-209-1900",
            "fax_number": "708-209-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7742 MADISON ST",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301404",
            "telephone_number": "708-209-1900",
            "fax_number": "708-209-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PARK DENTAL ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "VORA",
        "authorized_official_first_name": "RASHMIKANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-209-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019017346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.