NPIMap

Organization Active NPI

Sheth Dental Assoc. P.C.

  • Dentist
  • Chicago, IL
National Provider Identifier
1003134990
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
01921108 Issued in IL
Legal business name
SHETH DENTAL ASSOC. P.C.
Practice address
3705 E 106TH St
Chicago, IL 60617-6725
Phone
(773) 978-7773
Fax
(773) 978-0419
NPI assigned
May 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Dr. Pramila Sheth, DDSNPI 1902016009
Title
President/Sec
Phone
(773) 978-7773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 01921108 IL Primary

Addresses

Primary practice location

3705 E 106TH St
Chicago, IL 60617-6725

Mailing address

3705 E 106TH St
Chicago, IL 60617-6725
Phone (773) 978-7773

National Provider Directory

National Provider Directory

Locations

3705 E 106th St
Chicago, IL 60617
Phone (773) 978-7773

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1003134990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 E 106TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176725",
            "telephone_number": "773-978-7773",
            "fax_number": "773-978-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 E 106TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176725",
            "telephone_number": "773-978-7773",
            "fax_number": "773-978-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHETH DENTAL ASSOC. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "PRAMILA",
        "authorized_official_title_or_position": "PRESIDENT/SEC",
        "authorized_official_telephone_number": "773-978-7773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "01921108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.