Organization Active NPI

Comprehensive Dentistry

  • Dental Clinic/Center
  • St Charles, IL
National Provider Identifier
1932552775
Registry record updated Jul 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019.030764 Issued in IL
Legal business name
COMPREHENSIVE DENTISTRY
Practice address
606 Riverside Ave
Suite C
St Charles, IL 60174-2969
Phone
(630) 584-5920
NPI assigned
Jul 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2016

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

Authorized official

Name
Dr. Justin Baumler, DMD
Title
Dentist
Phone
(716) 308-3569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019.030764 IL Primary

Addresses

Primary practice location

606 Riverside Ave
Suite C
St Charles, IL 60174-2969

Mailing address

606 Riverside Ave
Suite C
St Charles, IL 60174-2969
Phone (630) 584-5920

National Provider Directory

National Provider Directory

Locations

606 Riverside Ave
Ste C
St Charles, IL 60174
Phone (630) 584-5920

NPI Registry JSON

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

{
    "created_epoch": "1468713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468713600000",
    "number": "1932552775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 RIVERSIDE AVE",
            "address_2": "SUITE C",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742969",
            "telephone_number": "630-584-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 RIVERSIDE AVE",
            "address_2": "SUITE C",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742969",
            "telephone_number": "630-584-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-17",
        "last_updated": "2016-07-17",
        "status": "A",
        "authorized_official_last_name": "BAUMLER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "716-308-3569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019.030764",
            "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 Jul 17, 2016; 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.