Chicago Metro Dental Services, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHICAGO METRO DENTAL SERVICES, PLLC

Practice address

15 N Wolf Rd
Northlake, IL 60164-1644

Phone

(214) 821-6468

NPI assigned

Jul 19, 2022

Last updated

Jul 19, 2022By 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

Field HarrisonNPI 1962739961

Title

Ceo/Owner

Phone

(214) 821-6468

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.

• Field Harrison, DDS

  • Dentist
  • Dallas, TX
  • NPI 1962739961
  Authorized official Same address or phone

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1093440661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W AIRPORT FWY STE 102",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625928",
            "telephone_number": "972-480-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N WOLF RD",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601641644",
            "telephone_number": "214-821-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO METRO DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "FIELD",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "214-821-6468"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Burke, OTR
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• General Practice Dentistry in Northlake, IL
• Providers in Northlake, 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 Jul 19, 2022; 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.