NPIMap

Organization Active NPI

Dental Town

  • General Practice Dentistry
  • Oakbrook Terrace, IL
National Provider Identifier
1891116356
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019027470 Issued in IL
Legal business name
DENTAL TOWN
Practice address
17W679 Roosevelt Rd
Oakbrook Terrace, IL 60181-3545
Phone
(708) 863-2000
NPI assigned
Dec 30, 2013
Last updated
Dec 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Dr. Sinan Razzak, DDSNPI 1295935369
Title
Owner
Phone
(312) 810-2948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019027470 IL Primary

Addresses

Primary practice location

17W679 Roosevelt Rd
Oakbrook Terrace, IL 60181-3545

Mailing address

17W679 Roosevelt Rd
Oakbrook Terrace, IL 60181-3545
Phone (708) 863-2000

National Provider Directory

National Provider Directory
Tax ID family
Dental Town LTD9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17W679 Roosevelt Rd
Oakbrook Terrace, IL 60181
Phone (408) 300-8412

Ownership & related parties

Subparts reporting this organization as parent 9

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1891116356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W679 ROOSEVELT RD",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813545",
            "telephone_number": "708-863-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W679 ROOSEVELT RD",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813545",
            "telephone_number": "708-863-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL TOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "RAZZAK",
        "authorized_official_first_name": "SINAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-810-2948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.