Organization Active NPI

Belmont Dental Group PC

  • Dentist
  • Chicago, IL
National Provider Identifier
1124308911
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019019087 Issued in IL
Legal business name
BELMONT DENTAL GROUP PC
Practice address
5227 W. Belmont Ave
Chicago, IL 60641
Phone
(773) 685-6177
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Dr. Jeffery Taugner, DDS
Title
Dentist
Phone
(773) 685-6177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019019087 IL Primary

Addresses

Primary practice location

5227 W. Belmont Ave
Chicago, IL 60641

Mailing address

5227 W. Belmont Ave.
Chicago, IL 60641

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1124308911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5227 W. BELMONT AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5227 W. BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60641",
            "telephone_number": "773-685-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "TAUGNER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-685-6177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019019087",
            "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 Aug 24, 2011; 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.