NPIMap

Organization Active NPI

Dental Dreams PLLC

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1003166182
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL DREAMS PLLC
Practice address
3925 Minnesota Ave NE
Washington, DC 20019-2662
Phone
(312) 274-4526
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Phil Kural
Title
Director Doctor Credentialing
Phone
(312) 274-4526

Specialties & licenses 1

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

Addresses

Primary practice location

3925 Minnesota Ave NE
Washington, DC 20019-2662

Mailing address

430 W Erie St
Ste 200
Chicago, IL 60654-6914
Phone (312) 274-4526

Other names 1

  • Dental Dreams Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Dreams3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1003166182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W ERIE ST",
            "address_2": "STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546914",
            "telephone_number": "312-274-4526",
            "fax_number": "312-944-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 MINNESOTA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192662",
            "telephone_number": "312-274-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DREAMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "KURAL",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "DIRECTOR DOCTOR CREDENTIALING",
        "authorized_official_telephone_number": "312-274-4526"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Dreams",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Dreams",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.