Active NPI
Yummy Dental
- Pediatric Dentistry
- Chicago, IL
National Provider Identifier
1013147024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 021002143
- Legal business name
- YUMMY DENTAL
- Practice address
- 3500 N Lincoln Ave
Chicago, IL 60657-1104 - Phone
- (312) 773-7994
- NPI assigned
- Jul 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Grace Yum
- Title
- Doctor Owner
- Phone
- (312) 988-9855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 021002143 | IL | Primary |
Addresses
Primary practice location
3500 N Lincoln Ave
Chicago, IL 60657-1104
Mailing address
3500 N Lincoln Ave
Chicago, IL 60657-1104
Phone (312) 773-7994
National Provider Directory
National Provider DirectoryLocations
3500 N Lincoln Ave
Chicago, IL 60657
Phone (312) 773-7994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248393600000",
"number": "1013147024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606571104",
"telephone_number": "312-773-7994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606571104",
"telephone_number": "312-773-7994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YUMMY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-24",
"last_updated": "2009-07-24",
"status": "A",
"authorized_official_last_name": "YUM",
"authorized_official_first_name": "GRACE",
"authorized_official_title_or_position": "DOCTOR OWNER",
"authorized_official_telephone_number": "312-988-9855",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "IL",
"license": "021002143",
"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 Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.