Chicago Family Dental Center PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHICAGO FAMILY DENTAL CENTER PC

Practice address

55 E Washington St Ste 2141
Chicago, IL 60602-2294

Phone

(312) 551-0500

Fax

(312) 372-0165

NPI assigned

May 1, 2007

Last updated

Aug 22, 2020By 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

Dr. Gary George WegmannNPI 1053582932

Title

President

Phone

(312) 551-0500

Specialties & licenses 1

Addresses

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.

• Gary G Wegmann, DDS

  • Dentist
  • Chicago, IL
  • NPI 1053582932
  Authorized official Same address or phone

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104047091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E WASHINGTON ST STE 2141",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022294",
            "telephone_number": "312-551-0500",
            "fax_number": "312-372-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E WASHINGTON ST STE 2141",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022294",
            "telephone_number": "312-551-0500",
            "fax_number": "312-372-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO FAMILY DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEGMANN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-551-0500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Eye Care and Surgery Center Inc
• Chicago Eye Institute, PLLC (Chicago Eye Institute)
• Chicago Eyes LTD
• Chicago Family Asthma & Allergy SC
• Chicago Family Chiropractic Care
• Chicago Family Dentistry
• Chicago Family Health Center
• Chicago Family Health Center
• Chicago Family Health Center
• Chicago Family Health Center

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Aug 22, 2020; 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.