NPIMap

Organization Active NPI

Pristine Family Dentistry LTD

  • Dentist
  • Chicago, IL
National Provider Identifier
1215212428
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019026888 Issued in IL
Legal business name
PRISTINE FAMILY DENTISTRY LTD
Practice address
840 W Irving Park Rd
Suite407
Chicago, IL 60613-3011
Phone
(773) 248-8580
Fax
(773) 248-8581
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Ardita Dalipi, DDS
Title
Dentist
Phone
(773) 248-8580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019026888 IL Primary

Addresses

Primary practice location

840 W Irving Park Rd
Suite407
Chicago, IL 60613-3011

Mailing address

840 W Irving Park Rd
Suite407
Chicago, IL 60613-3011
Phone (773) 248-8580

National Provider Directory

National Provider Directory

Locations

840 W Irving Park Rd
Ste 407
Chicago, IL 60613
Phone (773) 248-8580

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1215212428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 W IRVING PARK RD",
            "address_2": "SUITE407",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133011",
            "telephone_number": "773-248-8580",
            "fax_number": "773-248-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W IRVING PARK RD",
            "address_2": "SUITE407",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133011",
            "telephone_number": "773-248-8580",
            "fax_number": "773-248-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE FAMILY DENTISTRY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "DALIPI",
        "authorized_official_first_name": "ARDITA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-248-8580",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026888",
            "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 Oct 19, 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.