Active NPI
Periodontal Implant Specialists
- Periodontics
- Oakbrook Terrace, IL
National Provider Identifier
1942455795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 021001976
- Legal business name
- PERIODONTAL IMPLANT SPECIALISTS
- Practice address
- 17W622 Butterfield Rd
Suite 208
Oakbrook Terrace, IL 60181-4037 - Phone
- (630) 424-9404
- NPI assigned
- Nov 20, 2008
- 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. Amarik Singh
- Title
- Owner/Dr.
- Phone
- (630) 424-9404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 021001976 | IL | Primary |
Addresses
Primary practice location
17W622 Butterfield Rd
Suite 208
Oakbrook Terrace, IL 60181-4037
Mailing address
17W622 Butterfield Rd
Suite 208
Oakbrook Terrace, IL 60181-4037
Phone (630) 424-9404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01902446 | Other | IL | PERIODONTAL SPECIALIST |
National Provider Directory
National Provider DirectoryLocations
17W622 Butterfield Rd
Ste 208
Oakbrook Terrace, IL 60181
Phone (630) 424-9404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227139200000",
"number": "1942455795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17W622 BUTTERFIELD RD",
"address_2": "SUITE 208",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601814037",
"telephone_number": "630-424-9404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17W622 BUTTERFIELD RD",
"address_2": "SUITE 208",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601814037",
"telephone_number": "630-424-9404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERIODONTAL IMPLANT SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-20",
"last_updated": "2008-11-20",
"status": "A",
"authorized_official_last_name": "SINGH",
"authorized_official_first_name": "AMARIK",
"authorized_official_title_or_position": "OWNER/DR.",
"authorized_official_telephone_number": "630-424-9404",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "IL",
"license": "021001976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERIODONTAL SPECIALIST",
"identifier": "01902446",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakbrook Terrace, IL
- Hina N Patel, O.D.
- Patient First, Wellness Center PC
- Paul Papierski MD LTD (Hand Surgery & Specialty Orthopaedic Centers)
- John William Pawluk, DDS
- Matthew T Perino, PT
- Periodontal Medicine and Surgical Specialists, LLC
- Danette Perry, MBA,MSW,LSW
- Peter L Noto DDS LTD
- Sitihiamphone Phetchamphone, D.C.
- Phyllis a. Dixon DDS PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.