NPIMap

Organization Active NPI

Dupage Dental Center, LTD

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1982906590
Registry record updated Dec 2, 2010
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019018724 Issued in IL
Legal business name
DUPAGE DENTAL CENTER, LTD
Practice address
1112 S. Washington St
Suite 203
Naperville, IL 60540
Phone
(630) 388-5360
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Sue Weis
Title
Office Manager
Phone
(630) 388-5360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019018724 IL Primary

Addresses

Primary practice location

1112 S. Washington St
Suite 203
Naperville, IL 60540

Mailing address

P.O. Box 9137
Naperville, IL 60567
Phone (630) 388-5360

National Provider Directory

National Provider Directory

Locations

1112 S Washington St
Ste 203
Naperville, IL 60540
Phone (630) 388-5360

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1982906590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9137",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60567",
            "telephone_number": "630-388-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S. WASHINGTON ST",
            "address_2": "SUITE 203",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "630-388-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE DENTAL CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "WEIS",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-388-5360"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.