Fox Valley Dental Associates of Crystal Lake LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FOX VALLEY DENTAL ASSOCIATES OF CRYSTAL LAKE LLC

Practice address

360 N Terra Cotta Rd
Suite #D
Crystal Lake, IL 60012-3749

Phone

(815) 477-0770

Fax

(815) 444-8841

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gregg R Hornyak, D.D.S.

Title

General Dentist Managing Member

Phone

(815) 477-0770

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tami L Zuck, D.D.S.

  • General Practice Dentistry
  • Crystal Lake, IL
  • NPI 1508909573
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972646925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N TERRA COTTA RD",
            "address_2": "SUITE #D",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123749",
            "telephone_number": "815-477-0770",
            "fax_number": "815-444-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N TERRA COTTA RD",
            "address_2": "SUITE #D",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123749",
            "telephone_number": "815-477-0770",
            "fax_number": "815-444-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY DENTAL ASSOCIATES OF CRYSTAL LAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORNYAK",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "GENERAL DENTIST MANAGING MEMBER",
        "authorized_official_telephone_number": "815-477-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot First Podiatry CL PC
• Agata M Foreman
• Sara Forster, LCSW
• Fountains Crystal Lake SL LLC
• Erin Fowler, LCSW, CADC
• Fox Valley Internal Medicine, LLC
• Fox Valley Podiatrists of McHenry County
• Nicole Ashley Fox, DPT
• Megan Foy
• Jenna Frank

• General Practice Dentistry in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.