Active NPI
Park West Family Dentistry, PC
Doing business as Harmony Family Dental
- Dentist
- Chicago, IL
National Provider Identifier
1053753699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019027922
- Legal business name
- PARK WEST FAMILY DENTISTRY, PC
- Doing business as
- Harmony Family Dental
- Practice address
- 4909 W Division St
#409
Chicago, IL 60651-3161 - Phone
- (773) 378-4608
- NPI assigned
- Jul 24, 2013
- Last updated
- Jul 24, 2013
- Organization subpart
- Yes
- Parent organization
- PARK WEST FAMILY DENTISTRY, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fariha Siddiqui Imam, D.D.S.
- Title
- Dentist/Owner
- Phone
- (773) 880-6054
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019027922 | IL | Primary |
Addresses
Primary practice location
4909 W Division St
#409
Chicago, IL 60651-3161
Mailing address
4909 W Division St
#409
Chicago, IL 60651-3161
Phone (773) 378-4608
Other names 1
- Harmony Family Dental
National Provider Directory
National Provider Directory- Tax ID family
- Park West Family Dentistry PC
- Part of
- Park West Family Dentistry PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Chicago, IL
- NPI 1093102303
-
dba Harmony Family Dental
- General Practice Dentistry
- Chicago, IL
- NPI 1801190582
Locations
4909 W Division St
Ste 409
Chicago, IL 60651
Phone (773) 378-4608
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Harmony Family Dental
- General Practice Dentistry
- Chicago, IL
- NPI 1801190582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374624000000",
"number": "1053753699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 W DIVISION ST",
"address_2": "#409",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606513161",
"telephone_number": "773-378-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 W DIVISION ST",
"address_2": "#409",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606513161",
"telephone_number": "773-378-4608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK WEST FAMILY DENTISTRY, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PARK WEST FAMILY DENTISTRY, PC",
"enumeration_date": "2013-07-24",
"last_updated": "2013-07-24",
"status": "A",
"authorized_official_last_name": "SIDDIQUI IMAM",
"authorized_official_first_name": "FARIHA",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "773-880-6054",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019027922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Harmony Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chicago, IL
- Park Ridge Orthopedic Surgeons,S.C.
- Park Smile Design
- Park View Medical Center Inc
- Park View Rehab Center LLC (Park View Rehab Center)
- Park West Family Dentistry (Harmony Family Dental)
- Park West Family Physicians S C
- Alex Junwoo Park, MD
- Amanda Park, M.D.
- Asher Chulsoon Park
- Candice Kimberly Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.