Organization Active NPI

Toothworks Inc

  • Dentist
  • Homer Glen, IL
National Provider Identifier
1891976429
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TOOTHWORKS INC
Practice address
12626 W 159TH St
Homer Glen, IL 60491
Phone
(708) 645-2626
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Dr. Christian E Foltys, DDS
Title
Owner Dentist
Phone
(708) 645-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X IL Primary

Addresses

Primary practice location

12626 W 159TH St
Homer Glen, IL 60491

Mailing address

12626 W 159TH St
Homer Glen, IL 60491

National Provider Directory

National Provider Directory

Locations

12626 W 159th St
Homer Glen, IL 60491
Phone (708) 645-2626

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1891976429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12626 W 159TH ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "60491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 W 159TH ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "60491",
            "telephone_number": "708-645-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTHWORKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "FOLTYS",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "708-645-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.