NPIMap

Organization Active NPI

Nadiya Sobolev DDS

  • Dentist
  • Mundelein, IL
National Provider Identifier
1891951398
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019027376 Issued in IL
Legal business name
NADIYA SOBOLEV DDS
Doing business as
Nadiya Sobolev DDS
Practice address
1464 Townline Rd
Mundelein, IL 60060
Phone
(847) 566-7850
Fax
(847) 566-7851
NPI assigned
Aug 4, 2008
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Dr. Nadiya SobolevNPI 1821280595
Title
Dentist
Phone
(847) 566-7850

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
Dentist 122300000X 019027376 IL Primary

Addresses

Primary practice location

1464 Townline Rd
Mundelein, IL 60060

Mailing address

1464 Townline Rd
Mundelein, IL 60060
Phone (847) 566-7850

Other names 1

  • NADIYA SOBOLEV DDS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1891951398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 TOWNLINE RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "60060",
            "telephone_number": "847-566-7850",
            "fax_number": "847-566-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 TOWNLINE RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "60060",
            "telephone_number": "847-566-7850",
            "fax_number": "847-566-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADIYA SOBOLEV DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "SOBOLEV",
        "authorized_official_first_name": "NADIYA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-566-7850",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NADIYA SOBOLEV DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.