Organization Active NPI

Dientes, Inc.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1023155751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DIENTES, INC.
Practice address
3417 W North Ave
Chicago, IL 60647-4841
Phone
(773) 342-2223
Fax
(773) 342-2225
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jose F Camacho, D.D.S.NPI 1073502464
Title
Doctor of Dental Surgery
Phone
(773) 342-2223

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

3417 W North Ave
Chicago, IL 60647-4841

Mailing address

3417 W North Ave
Chicago, IL 60647-4841
Phone (773) 342-2223

National Provider Directory

National Provider Directory

Locations

3417 W North Ave
Chicago, IL 60647
Phone (773) 342-2223

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023155751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474841",
            "telephone_number": "773-342-2223",
            "fax_number": "773-342-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474841",
            "telephone_number": "773-342-2223",
            "fax_number": "773-342-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIENTES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DOCTOR OF DENTAL SURGERY",
        "authorized_official_telephone_number": "773-342-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "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 Aug 22, 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.