Active NPI
Charlene Uy, DMD
- Dentist
- Chicago, IL
National Provider Identifier
1215312269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.030209
- Practice address
- 3303 W 26TH St
Chicago, IL 60623-4036 - Phone
- (773) 552-1926
- NPI assigned
- Jul 20, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019.030209 | IL | Primary |
Addresses
Primary practice location
3303 W 26TH St
Chicago, IL 60623-4036
Mailing address
3303 W 26TH St
Chicago, IL 60623-4036
Phone (773) 552-1926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019.030209 | Medicaid | IL |
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 |
|---|---|---|---|
| 019.030209 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1215312269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606234036",
"telephone_number": "773-552-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606234036",
"telephone_number": "773-552-1926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UY",
"first_name": "CHARLENE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.030209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019.030209",
"state": "IL"
}
],
"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 Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.