Organization Active NPI

Jared B Siegel DDS PC

Doing business as Noble Dentistry of Chicago

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1073249769
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JARED B SIEGEL DDS PC
Doing business as
Noble Dentistry of Chicago
Practice address
3052 N Lincoln Ave
Chicago, IL 60657-4286
Phone
(773) 997-1979
NPI assigned
Jul 26, 2022
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Dr. Jared Benjamin Siegel, DDSNPI 1740818848
Title
Dentist
Phone
(631) 374-8567

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

3052 N Lincoln Ave
Chicago, IL 60657-4286

Mailing address

3052 N Lincoln Ave
Chicago, IL 60657-4286
Phone (773) 997-1979

Other practice location 1

41 US Highway 41
Schererville, IN 46375-1201
Phone (219) 250-1762

Other practice location 2

3722 Harlem Ave
North Riverside, IL 60546-2312
Phone (708) 595-7040

Other identifiers 2

IdentifierTypeStateIssuer
1740818848MedicaidIL
1740818848OtherILINSURANCE

Other names 1

  • Noble Dentistry of Chicago Doing business as

National Provider Directory

National Provider Directory

Locations

3722 Harlem Ave
Riverside, IL 60546
Phone (708) 783-0602

41 US Highway 41
Schererville, IN 46375
Phone (219) 250-1762

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1073249769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3052 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574286",
            "telephone_number": "773-997-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3052 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574286",
            "telephone_number": "773-997-1979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 US Highway 41",
            "address_purpose": "LOCATION",
            "city": "Schererville",
            "state": "IN",
            "postal_code": "463751201",
            "country_code": "US",
            "telephone_number": "219-250-1762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3722 Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "North Riverside",
            "state": "IL",
            "postal_code": "605462312",
            "country_code": "US",
            "telephone_number": "708-595-7040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JARED B SIEGEL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "631-374-8567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740818848",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1740818848",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noble Dentistry of Chicago",
            "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 21, 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.