NPIMap

Organization Active NPI

Family Dental Care of Belvidere

  • General Practice Dentistry
  • Belvidere, IL
National Provider Identifier
1922547546
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-023722 Issued in IL
Legal business name
FAMILY DENTAL CARE OF BELVIDERE
Practice address
860 Biester Dr
Suite 102
Belvidere, IL 61008-4053
Phone
(815) 544-3426
Fax
(815) 544-3428
NPI assigned
Feb 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Dr. Farzin YousefNPI 1720246515
Title
Dentist
Phone
(815) 544-3426

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 019-023722 IL
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 019-023722 IL Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 019-023722 IL
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 019-023722 IL

Addresses

Primary practice location

860 Biester Dr
Suite 102
Belvidere, IL 61008-4053

Mailing address

860 Biester Dr
Suite 102
Belvidere, IL 61008-4053
Phone (815) 544-3426

National Provider Directory

National Provider Directory

Locations

860 Biester Dr
Ste 102
Belvidere, IL 61008
Phone (815) 544-3426

Practitioners & affiliated clinicians

Practitioners 1

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": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1922547546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 BIESTER DR",
            "address_2": "SUITE 102",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610084053",
            "telephone_number": "815-544-3426",
            "fax_number": "815-544-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BIESTER DR",
            "address_2": "SUITE 102",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610084053",
            "telephone_number": "815-544-3426",
            "fax_number": "815-544-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CARE OF BELVIDERE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "YOUSEF",
        "authorized_official_first_name": "FARZIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "815-544-3426",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "019-023722",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-023722",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019-023722",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019-023722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belvidere, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.