NPIMap

Organization Active NPI

Ridge Dental Center

  • Dentist
  • Chicago, IL
National Provider Identifier
1235521485
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019022787 Issued in IL
Legal business name
RIDGE DENTAL CENTER
Practice address
7131 N. Ridge Blvd.
Ridge Dental Center, Storefront
Chicago, IL 60076
Phone
(773) 764-7575
Fax
(773) 764-2951
NPI assigned
Feb 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Dr. Gregory W Chipp, D.D.S.
Title
Dentist
Phone
(773) 764-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019022787 IL Primary

Addresses

Primary practice location

7131 N. Ridge Blvd.
Ridge Dental Center, Storefront
Chicago, IL 60076

Mailing address

7131 N. Ridge Blvd.
Ridge Dental Center, Storefront
Chicago, IL 60076
Phone (773) 764-7575

National Provider Directory

National Provider Directory

Locations

7131 N Ridge Blvd
Frnt
Chicago, IL 60645
Phone (773) 764-7575

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1235521485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 N. RIDGE BLVD.",
            "address_2": "RIDGE DENTAL CENTER, STOREFRONT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60076",
            "telephone_number": "773-764-7575",
            "fax_number": "773-764-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 N. RIDGE BLVD.",
            "address_2": "RIDGE DENTAL CENTER, STOREFRONT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60076",
            "telephone_number": "773-764-7575",
            "fax_number": "773-764-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "CHIPP",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-764-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019022787",
            "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 Feb 25, 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.

Verify at the official NPI Registry.