NPIMap

Organization Active NPI

Ash Dental PC

Doing business as all star dental clinic

  • Dentist
  • Chicago, IL
National Provider Identifier
1053584599
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ASH DENTAL PC
Doing business as
all star dental clinic
Practice address
2316 W Madison St
Chicago, IL 60612-2228
Phone
(312) 491-0601
Fax
(312) 491-0602
NPI assigned
Apr 4, 2008
Last updated
Sep 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Dimitri Haralampopoulos, DDSNPI 1144221219
Title
Owner
Phone
(312) 491-0601

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2316 W Madison St
Chicago, IL 60612-2228

Mailing address

2316 W Madison St
Chicago, IL 60612-2228
Phone (312) 491-0601

Other names 1

  • all star dental clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2316 W Madison St
Chicago, IL 60612
Phone (312) 491-0601

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1053584599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122228",
            "telephone_number": "312-491-0601",
            "fax_number": "312-491-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122228",
            "telephone_number": "312-491-0601",
            "fax_number": "312-491-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASH DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "HARALAMPOPOULOS",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-491-0601",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "all star dental clinic",
            "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 Sep 6, 2012; 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.