NPIMap

Organization Active NPI

Amm LTD

  • Dentist
  • Burr Ridge, IL
National Provider Identifier
1891825527
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019018250 Issued in IL
Legal business name
AMM LTD
Practice address
7045 Veterans Blvd
A-1
Burr Ridge, IL 60528-5605
Phone
(708) 354-0835
Fax
(630) 325-5176
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

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

Authorized official

Name
Dr. Paull C Gossett, DDSNPI 1770731531
Title
Owner (President)
Phone
(708) 354-0835

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019018250 IL Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019027081 IL

Addresses

Primary practice location

7045 Veterans Blvd
A-1
Burr Ridge, IL 60528-5605

Mailing address

7045 Veterans Blvd
A-1
Burr Ridge, IL 60528-5605
Phone (708) 354-0835

National Provider Directory

National Provider Directory

Locations

7045 Veterans Blvd
Ste A1
Burr Ridge, IL 60527
Phone (708) 354-0835

Practitioners & affiliated clinicians

Practitioners 3

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1891825527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7045 VETERANS BLVD",
            "address_2": "A-1",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605285605",
            "telephone_number": "708-354-0835",
            "fax_number": "630-325-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7045 VETERANS BLVD",
            "address_2": "A-1",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605285605",
            "telephone_number": "708-354-0835",
            "fax_number": "630-325-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "GOSSETT",
        "authorized_official_first_name": "PAULL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER (PRESIDENT)",
        "authorized_official_telephone_number": "708-354-0835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019018250",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.