Active NPI
Ali Taghipour, D.D.S.
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1205030475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019027396
- Practice address
- 916 W Belmont Ave Ste 201
Chicago, IL 60657-4427 - Phone
- (773) 840-8484
- Fax
- (872) 829-3561
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019027396 | IL | Primary |
Addresses
Primary practice location
916 W Belmont Ave Ste 201
Chicago, IL 60657-4427
Mailing address
916 W Belmont Ave Ste 201
Chicago, IL 60657-4427
Phone (773) 840-8484
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | staff1@skydentalchicago.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019027396 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Taghipour DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1205030475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 W BELMONT AVE STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574427",
"telephone_number": "773-840-8484",
"fax_number": "872-829-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 W BELMONT AVE STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574427",
"telephone_number": "773-840-8484",
"fax_number": "872-829-3561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGHIPOUR",
"first_name": "ALI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019027396",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "staff1@skydentalchicago.com",
"affiliation": "N",
"endpointDescription": "Practice Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Email Messages",
"address_1": "916 W Belmont Ave Ste 201",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606574427",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 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.