NPIMap

Organization Active NPI

Tru Dental Illinois, P.C.

  • General Practice Dentistry
  • Elmwood Park, IL
National Provider Identifier
1952980211
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRU DENTAL ILLINOIS, P.C.
Practice address
7728 W North Ave
Elmwood Park, IL 60707-4124
Phone
(773) 745-8300
Fax
(773) 745-8300
NPI assigned
Apr 5, 2021
Organization subpart
Yes
Parent organization
TRU DENTAL ILLINOIS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-8905

Specialties & licenses 1

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

Addresses

Primary practice location

7728 W North Ave
Elmwood Park, IL 60707-4124

Mailing address

7728 W North Ave
Elmwood Park, IL 60707-4124
Phone (773) 745-8300

Other names 1

  • Tru Family Dental - Elmwood Park Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tru Dental Illinois PC8 organizations share this tax ID, including this one
Part of
Tru Dental Illinois PC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7728 W North Ave
Elmwood Park, IL 60707
Phone (773) 745-8300

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1952980211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7728 W NORTH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074124",
            "telephone_number": "773-745-8300",
            "fax_number": "773-745-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7728 W NORTH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074124",
            "telephone_number": "773-745-8300",
            "fax_number": "773-745-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU DENTAL ILLINOIS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRU DENTAL ILLINOIS, P.C.",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8905"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tru Family Dental - Elmwood Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmwood Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.