NPIMap

Organization Active NPI

D2 Dental of Lansing, P.C.

  • General Practice Dentistry
  • Oak Park, IL
National Provider Identifier
1891259768
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
D2 DENTAL OF LANSING, P.C.
Practice address
1 Chicago Ave
Oak Park, IL 60302-2432
Phone
(708) 948-7744
NPI assigned
Jan 24, 2019
Last updated
Jan 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Boris Labinov
Title
Agent
Phone
(312) 404-3975

Specialties & licenses 1

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

Addresses

Primary practice location

1 Chicago Ave
Oak Park, IL 60302-2432

Mailing address

137 N Oak Park Ave Ste 310
Oak Park, IL 60301-1339

National Provider Directory

National Provider Directory
Tax ID family
D2 Dental of Lansing PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 7

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": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1891259768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE STE 310",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHICAGO AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022432",
            "telephone_number": "708-948-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D2 DENTAL OF LANSING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "LABINOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "312-404-3975"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.