NPIMap

Organization Active NPI

Precision Dental Care 4 LLC

  • Dentist
  • Chicago, IL
National Provider Identifier
1073951588
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019026820 Issued in IL
Legal business name
PRECISION DENTAL CARE 4 LLC
Practice address
6930 S Pulaski Rd
Chicago, IL 60629-4223
Phone
(773) 579-0422
NPI assigned
Jun 6, 2013
Last updated
Jun 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Authorized official

Name
Dr. Khanh Nguyen, DDS
Title
Owner
Phone
(773) 579-0422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019026820 IL Primary

Addresses

Primary practice location

6930 S Pulaski Rd
Chicago, IL 60629-4223

Mailing address

6930 S Pulaski Rd
Chicago, IL 60629-4223
Phone (773) 579-0422

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1073951588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294223",
            "telephone_number": "773-579-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294223",
            "telephone_number": "773-579-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DENTAL CARE 4 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-579-0422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026820",
            "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 Jun 6, 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.

Verify at the official NPI Registry.