NPIMap

Organization Active NPI

S B Naik DDS LTD

  • General Practice Dentistry
  • Toluca, IL
National Provider Identifier
1942355185
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019016212 Issued in IL
Legal business name
S B NAIK DDS LTD
Practice address
203 E Santa Fe, Box 674
Toluca, IL 61369
Phone
(815) 452-2513
Fax
(815) 452-2585
NPI assigned
Jan 25, 2007
Last updated
May 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Dr. S B Naik, DDSNPI 1326219379
Title
General Dentist President
Phone
(815) 452-2513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019016212 IL Primary

Addresses

Primary practice location

203 E Santa Fe, Box 674
Toluca, IL 61369

Mailing address

203 E Santa Fe, Box 674
Toluca, IL 61369
Phone (815) 452-2513

Other identifiers 1

IdentifierTypeStateIssuer
1003096MedicaidIL

Other names 1

  • S B Naik DDS Ltd Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1942355185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E SANTA FE, BOX 674",
            "city": "TOLUCA",
            "state": "IL",
            "postal_code": "61369",
            "telephone_number": "815-452-2513",
            "fax_number": "815-452-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E SANTA FE, BOX 674",
            "city": "TOLUCA",
            "state": "IL",
            "postal_code": "61369",
            "telephone_number": "815-452-2513",
            "fax_number": "815-452-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S B NAIK DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "NAIK",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "GENERAL DENTIST PRESIDENT",
        "authorized_official_telephone_number": "815-452-2513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019016212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003096",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S B Naik DDS Ltd",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Toluca, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.