Ridge Dental LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RIDGE DENTAL LTD

Practice address

6422 W 107TH St
Chicago Ridge, IL 60415

Phone

(708) 424-0052

Fax

(708) 424-0055

NPI assigned

Feb 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher John Green, DDSNPI 1518006808

Title

Owner

Phone

(708) 424-0052

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Christopher John Green, DDS

  • Dentist
  • Chicago Ridge, IL
  • NPI 1518006808
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063556934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 W 107TH ST",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "60415",
            "telephone_number": "708-424-0052",
            "fax_number": "708-424-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 W 107TH ST",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "60415",
            "telephone_number": "708-424-0052",
            "fax_number": "708-424-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE DENTAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-424-0052",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Purpura
• Mohamad Rachid
• Sherif Mohamed Rashad, PHYSICAL THERAPIST
• Richard M. Janiczek, DDS., LTD.
• Kayla Danielle Richert, NP
• Ridgeland Family Chiropractic Inc
• Ridgeland Immediate Care (Chicago Ridge Immediate Care)
• Robin L. Wurster
• Veronica Moncia Robinson
• Jiselle Roman, LCPC

• General Practice Dentistry in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• General Practice Dentistry in Illinois

• 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.