Shachat Dental Group PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SHACHAT DENTAL GROUP PLLC

Practice address

212 W Van Buren St # F6
Chicago, IL 60607-3909

Phone

(312) 441-0096

Fax

(773) 943-7344

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Shachat, DMDNPI 1174142525

Title

Founder

Phone

(312) 441-0096

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Matthew Shachat, DMD

  • Dentist
  • Chicago, IL
  • NPI 1174142525
  NPD Authorized official

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1003598210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W VAN BUREN ST # F6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073909",
            "telephone_number": "312-441-0096",
            "fax_number": "773-943-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W VAN BUREN ST # F6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073909",
            "telephone_number": "312-441-0096",
            "fax_number": "773-943-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHACHAT DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "SHACHAT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "312-441-0096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yedidya Shabat, LCPC, CADC
• Zaheera Shabbir, PHARMD
• Alana Shabez
• Ruta M Shabez, APRN, CRNA
• Samuel Shabsin, LSW, MSW
• Matthew Shachat, DMD
• Sarah O'Hare Shackleton, PT
• Shaddai Dental Care
• Jennifer Shadden, O.T
• Yvonne Shade Zeldow, PHD

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.