NPIMap

Organization Active NPI

Dr Roy B Guster DDS PC

  • Dentist
  • Chicago, IL
National Provider Identifier
1104360478
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR ROY B GUSTER DDS PC
Practice address
9524 S Halsted St
Chicago, IL 60628-1028
Phone
(773) 445-1009
NPI assigned
Dec 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Dr. Roy B GusterNPI 1770796195
Title
Owner
Phone
(773) 445-1009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9524 S Halsted St
Chicago, IL 60628-1028

Mailing address

9524 S Halsted St
Chicago, IL 60628-1028
Phone (773) 445-1009

National Provider Directory

National Provider Directory

Locations

9524 S Halsted St
Chicago, IL 60628
Phone (773) 445-1009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1104360478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9524 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281028",
            "telephone_number": "773-445-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9524 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281028",
            "telephone_number": "773-445-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROY B GUSTER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "GUSTER",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-445-1009",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Jan 9, 2017; 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.