Parkside Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-022550 Issued in IL

Legal business name

PARKSIDE DENTAL, LLC

Practice address

1645 S. River Rd.
Suite 21
Des Plaines, IL 60018

Phone

(847) 299-4811

Fax

(847) 299-4379

NPI assigned

Nov 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Richard Hugh McKone, DDS

Title

President

Phone

(309) 693-0043

Specialties & licenses 1

Addresses

Other names 1

• Richard H. McKone DDS Other name

Locations

Practitioners 2

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

• Jennifer Duong, DMD

  • General Practice Dentistry
  • Des Plaines, IL
  • NPI 1093493108
  NPD (past)
• Richard Leo Stiles, DDS

  • Dentist
  • Des Plaines, IL
  • NPI 1447272778
  NPD (past)

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1922309400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 S. RIVER RD.",
            "address_2": "SUITE 21",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60018",
            "telephone_number": "847-299-4811",
            "fax_number": "847-299-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 S. RIVER RD.",
            "address_2": "SUITE 21",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60018",
            "telephone_number": "847-299-4811",
            "fax_number": "847-299-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "MCKONE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-693-0043",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-022550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard H. McKone DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pari Health and Wellness, LLC
• Hanphil Park, D.C
• Migi Park
• Sarah Park
• Amanda Parker
• Partners in Psychiatry LTD
• Partridge Dental
• Partridge Dental, Prof. Corp.
• Andrew Partridge, D.D.S.
• Michael J Partridge, DDS

• General Practice Dentistry in Des Plaines, IL
• Providers in Des Plaines, 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 Nov 15, 2010; 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.