NPIMap

Organization Active NPI

Austin Dental Center LLC

  • Dentist
  • Oak Park, IL
National Provider Identifier
1992003933
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019012524 Issued in TX
Legal business name
AUSTIN DENTAL CENTER LLC
Practice address
418 N Austin Blvd
2B
Oak Park, IL 60302-2752
Phone
(708) 386-1448
Fax
(708) 386-8943
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Dr. Robey C McDonald, DDS
Title
Dentist
Phone
(708) 386-1448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019012524 TX Primary

Addresses

Primary practice location

418 N Austin Blvd
2B
Oak Park, IL 60302-2752

Mailing address

418 N Austin Blvd
2B
Oak Park, IL 60302-2752
Phone (708) 386-1448

National Provider Directory

National Provider Directory

Locations

418 N Austin Blvd
#2B
Oak Park, IL 60302
Phone (708) 386-1448

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1992003933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N AUSTIN BLVD",
            "address_2": "2B",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022752",
            "telephone_number": "708-386-1448",
            "fax_number": "708-386-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N AUSTIN BLVD",
            "address_2": "2B",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022752",
            "telephone_number": "708-386-1448",
            "fax_number": "708-386-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ROBEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-386-1448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "019012524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.