Archer Family Dental LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019028658 Issued in IL

Legal business name

ARCHER FAMILY DENTAL LTD

Practice address

6615 W Archer Ave
Chicago, IL 60638-2407

Phone

(773) 586-9700

NPI assigned

Mar 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Aneta M Lacek

Title

President

Phone

(773) 586-0799

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• James Henry Bryniarski, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1568402766

  General Practice

  NPD (past)
• Brian Remiasz, DMD

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1609612779

  General Practice

  NPD (past)
• Samantha Zoltek-Skik, DMD

  • Dentist
  • Chicago, IL
  • NPI 1134796402
  NPD (past)

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

{
    "created_epoch": "1394928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394928000000",
    "number": "1003232901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382407",
            "telephone_number": "773-586-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382407",
            "telephone_number": "773-586-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHER FAMILY DENTAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-16",
        "last_updated": "2014-03-16",
        "status": "A",
        "authorized_official_last_name": "LACEK",
        "authorized_official_first_name": "ANETA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-586-0799",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arch Angel Services, LLC
• Arch Angels Services
• Emily L Arch, MD
• Archer Dental Specialist Inc
• Archer Dentistry LLC
• Archer Family Medical Group, LLC
• Archer Foot Clinic
• Archer Heights Healthcare LLC
• Archer Kedzie Imaging LLC
• Amy Archer, MD

• All providers in Chicago, IL
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.