Organization Active NPI

Bon DDS Dental Studio PC

  • General Practice Dentistry
  • St Charles, IL
National Provider Identifier
1922601384
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BON DDS DENTAL STUDIO PC
Practice address
202 Kirk Rd
St Charles, IL 60174-2429
Phone
(630) 584-0481
Fax
(630) 584-0526
NPI assigned
Nov 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Irena M Hyvel, DDSNPI 1750521993
Title
Owner
Phone
(630) 584-0481

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

202 Kirk Rd
St Charles, IL 60174-2429

Mailing address

202 Kirk Rd
St Charles, IL 60174-2429
Phone (630) 584-0481

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.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1922601384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 KIRK RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742429",
            "telephone_number": "630-584-0481",
            "fax_number": "630-584-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 KIRK RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742429",
            "telephone_number": "630-584-0481",
            "fax_number": "630-584-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON DDS DENTAL STUDIO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "HYVEL",
        "authorized_official_first_name": "IRENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-584-0481",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.