Jared Woolf DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JARED WOOLF DDS PC

Practice address

4733 N Kedzie Ave
Chicago, IL 60625-4420

Phone

(773) 250-3768

NPI assigned

May 5, 2023

Last updated

May 5, 2023By 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

Jared Woolf

Title

Owner

Phone

(949) 305-2253

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1083303853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ARGONAUT STE 220",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564105",
            "telephone_number": "949-305-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4733 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254420",
            "telephone_number": "773-250-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED WOOLF DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "WOOLF",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-305-2253"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abelardo J Jarava, MD
• David Jarava, M.D.
• Marco Alejandro Jarava, MD
• Svetlana Jardan
• Jared B Siegel DDS PC (Noble Dentistry of Chicago)
• Jason H Jared, DC
• Colleen Minnie Jarema, DPT, PT
• Ryan Jarema, DPT
• Lindsay Jarger, RDN
• Chelsea Jariwala, PA

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.