Ibbi Dental Clinic PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IBBI DENTAL CLINIC PC

Practice address

7963 Golf Road
Morton Grove, IL 60053

Phone

(847) 583-0033

Fax

(847) 583-0013

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Igor Botvinnik, DDSNPI 1760553887

Title

President Owner

Phone

(847) 583-0033

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Igor Botvinnik DDS Doing business as

Tax ID family

Ibbi Dental Clinic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ibbi Dental Clinic/Igor Botvinnik

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1356593206
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Igor Botvinnik, D.D.S.

  • General Practice Dentistry
  • Morton Grove, IL
  • NPI 1760553887
  NPD (past) Authorized official
• Irina Bolotnikova, D.D.S.

  • General Practice Dentistry
  • Morton Grove, IL
  • NPI 1396816419
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1902941263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7963 GOLF ROAD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "60053",
            "telephone_number": "847-583-0033",
            "fax_number": "847-583-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7963 GOLF ROAD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "60053",
            "telephone_number": "847-583-0033",
            "fax_number": "847-583-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBBI DENTAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "BOTVINNIK",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "847-583-0033",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004642",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Igor Botvinnik DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandi Hosford, PT,DPT
• Clifton Howard, PA
• John Howe
• Patricia Huettinger, RN
• Mir Faraaz Hussaini
• Ibji, LLC
• Matthew Ibrahim
• Ideal Care Home Health, Inc.
• John G. Ifantis, D.D.S., P.C.
• Igor Rechitsky, MD Neurologist LTD.

• General Practice Dentistry in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.