Active NPI
Anita Birton, RDH
- Dental Hygienist
- Chicago, IL
National Provider Identifier
1073934956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 020.011177
- Practice address
- 2800 S California Ave
Chicago, IL 60608-5107 - Phone
- (773) 707-3123
- NPI assigned
- Dec 19, 2013
- Last updated
- Dec 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 020.011177 | IL | Primary |
Addresses
Primary practice location
2800 S California Ave
Chicago, IL 60608-5107
Mailing address
8264 S Anthony Ave
Chicago, IL 60617-1764
Phone (773) 707-3123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020.011177 | IL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387929600000",
"number": "1073934956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8264 S ANTHONY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606171764",
"telephone_number": "773-707-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 S CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606085107",
"telephone_number": "773-707-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRTON",
"first_name": "ANITA",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-19",
"last_updated": "2013-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "IL",
"license": "020.011177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 25, 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.