Active NPI
Comprehensive Dentistry
- Dental Clinic/Center
- St Charles, IL
National Provider Identifier
1932552775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 019.030764
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.