Pacer Dental P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PACER DENTAL P.C.

Practice address

853 North Randall Road
Batavia, IL 60510

Phone

(847) 739-6272

NPI assigned

Mar 24, 2014

Organization subpart

No

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

Authorized official

Name

Rathidevi SubramaniNPI 1669736088

Title

President

Phone

(847) 739-6272

Specialties & licenses 1

Addresses

Tax ID family

Pacer Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Topline Family Dental

  • Dental Clinic/Center
  • Aurora, IL
  • NPI 1548851678
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Topline Family Dental

  • Dental Clinic/Center
  • Aurora, IL
  • NPI 1548851678
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rathidevi Subramani

  • Dentist
  • Batavia, IL
  • NPI 1669736088
  NPD (past) Authorized official

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1992122337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 NORTH RANDALL ROAD",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "60510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 NORTH RANDALL ROAD",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "60510",
            "telephone_number": "847-739-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACER DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "SUBRAMANI",
        "authorized_official_first_name": "RATHIDEVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-739-6272"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Olsen, MA
• Sarah Crowley Olson, M.S. SLP
• Linnea Omholt, PT, DPT
• Alayna Nadine Orchard, LPC
• Christiane Neftaly Ortiz
• Christina T Padilla, SLP
• Rachel A Panattoni, M.S.
• Jonathan Charles Parker Jr., M.D.
• Kimberly Parry, CPHT
• Carla Pate-Dohrman, LCPC

• Dental Clinic/Center in Batavia, IL
• Providers in Batavia, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.