Organization Active NPI

United Dental Surgery Inc

Doing business as United Dental Medicine & Surgery

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1023827029
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
UNITED DENTAL SURGERY INC
Doing business as
United Dental Medicine & Surgery
Practice address
8501 S Cicero Ave
Chicago, IL 60652-3504
Phone
(847) 668-9616
NPI assigned
Jan 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Dr. Kevin Kordi, DMDNPI 1689303091
Title
Doctor
Phone
(847) 668-9616

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8501 S Cicero Ave
Chicago, IL 60652-3504

Mailing address

3100 Lexington LN Apt 112
Glenview, IL 60026-5936
Phone (847) 668-9616

Other names 1

  • United Dental Medicine & Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

8501 S Cicero Ave
Chicago, IL 60652
Phone (773) 284-2241

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": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1023827029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 LEXINGTON LN APT 112",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265936",
            "telephone_number": "847-668-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523504",
            "telephone_number": "847-668-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DENTAL SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "KORDI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-668-9616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Dental Medicine & Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 3, 2025; 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.