ANDRIS FAMILY DENTAL, LLC (NPI# 1225493034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225493034 |
| Entity Type | Organization |
| Organization Name | ANDRIS FAMILY DENTAL, LLC |
| Practice Address |
636 W Jefferson St Morton IL 61550-1581 |
| Practice Telephone | 3092638317 |
| Practice Fax Number | 3092632175 |
| Mailing Telephone | 3092638317 |
| Mailing Fax Number | 3092632175 |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |
| Authorized Official Name | DR. RYAN WAYNE ANDRIS (DENTIST/OWNER) |
| Authorized Official Telephone | 3092638317 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
019.029393 | IL | Ambulatory Health Care Facilities |
| Street Address |
636 W JEFFERSON ST |
| City | MORTON |
| State | IL |
| Zip Code | 61550-1581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417054420 | Joseph C Zimmerman IIi | Dentist | 636 W Jefferson St, Suite 8, Morton, IL 61550 | 2006-09-20 |
| 1669808903 | Ryan W Andris | Dentist | 636 W Jefferson St, Morton, IL 61550-1581 | 2013-09-18 |
| 1063602514 | Gail L Pollock | Audiologist | 636 W Jefferson St, Suite 3c, Morton, IL 61550-1581 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398648 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 853 W Jackson Plaza, Morton, IL 61550 | 2019-10-21 |
| 1760924732 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 | 2016-11-08 |
| 1770983181 | Jennifer Vissering | Nurse Practitioner | 435 Maxine Drive Suite #4, Morton, IL 61550 | 2014-09-04 |
| 1316387236 | Saint Johns Hospital | Rehabilitation Hospital | 141 E Maywood Street, Morton, IL 61550 | 2013-06-25 |
| 1801145610 | Nancy J. Anderson | Counselor | 42 Jasper Drive, Morton, IL 61550 | 2012-09-07 |
| 1689894834 | Kevin Littlefield | Dentist | 320 E Jackson, Morton, IL 61550 | 2007-04-30 |
| 1215081765 | Krueger & Associates LLC | Dentist | 213 S Clifton Street, Morton, IL 61550 | 2007-01-22 |
| 1073686218 | Darin Scott Hoffmire | Social Worker | 2401 South Fourth Street, Morton, IL 61550 | 2006-11-16 |
| 1629161856 | William Edwards | Pediatrics | 435 Maxine Drive, Suites 3 & 4, Morton, IL 61550 | 2006-10-02 |
| 1396844932 | G Gene Sidler | Internal Medicine | 619 Jackson St, Morton, IL 61550 | 2006-09-21 |
| Find all providers in zip 61550 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629514 | Chicago Pediatric Dentistry and Orthodontics | Clinic/Center | 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 | 2020-11-03 |
| 1437750031 | Secure Dental Xi | Clinic/Center | 1843 W Golf Rd, Schaumburg, IL 60194-1148 | 2020-11-02 |
| 1780283267 | Jenna Gaw, Dds, Pllc | Clinic/Center | 1724 Locust Pl Apt 303, Schaumburg, IL 60173-4239 | 2020-10-26 |
| 1740889344 | Nsp Dental LLC | Clinic/Center | 1900 Hollister Dr Ste 190, Libertyville, IL 60048-5283 | 2020-10-23 |
| 1285232827 | Paul Doodes Dds Phd PC | Clinic/Center | 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282 | 2020-10-15 |
| 1780290676 | Great Smile Dental Pllc | Clinic/Center | 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339 | 2020-09-16 |
| 1669087375 | Naperville Smiles Dental | Clinic/Center | 8 W Gartner Rd Ste 124, Naperville, IL 60540-7549 | 2020-09-09 |
| 1649883364 | Mark J Maly Estate | Clinic/Center | 103 S Main St # Po, Orangeville, IL 61060-9244 | 2020-08-24 |
| 1760094718 | Stoffel and Tomazin Dental Associates, Ltd | Clinic/Center | 5718 W 35th St, Cicero, IL 60804-4222 | 2020-08-20 |
| 1215548771 | Meda Dental II LLC | Clinic/Center | 2735 Hassert Blvd Ste 159, Naperville, IL 60564-5205 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.