BK Dental-Evanston LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BK DENTAL-EVANSTON LLC

Practice address

636 Church St Ste 304
Evanston, IL 60201-4579

Phone

(312) 343-0415

Fax

(630) 766-2537

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Borislav Denkov Kaltchev, DMD

Title

Dentist/Owner

Phone

(312) 343-0415

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1033695309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 BRISTOL ST",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933216",
            "telephone_number": "312-343-0415",
            "fax_number": "630-766-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 304",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014579",
            "telephone_number": "312-343-0415",
            "fax_number": "630-766-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BK DENTAL-EVANSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "KALTCHEV",
        "authorized_official_first_name": "BORISLAV",
        "authorized_official_middle_name": "DENKOV",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "312-343-0415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Bissing
• Kristin Marie Bissing, DNP
• Matthew Biszewski, PHARM.D.
• Bites Orthodontics PLLC (EverSmiles Orthodontics)
• Ruth Ann Bittner, MSW
• Black Chiropractic PC (Black Chiropractic & Family Wellness Center)
• Constance Ann Black, DC
• Danielle Anna Black, PH.D.
• Jennifer Lynn Black, LCPC, CCMHC, LBS1
• Jonella Renee Black, PT

• Dental Clinic/Center in Evanston, IL
• Providers in Evanston, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.