Alta Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ALTA DENTAL LLC

Practice address

5892 S Archer Ave
Chicago, IL 60638-1658

Phone

(218) 329-2753

NPI assigned

Aug 28, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Chris Worth, DDSNPI 1184852998

Title

Owner

Phone

(218) 329-2753

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris Mark Worth, D.D.S.

  • General Practice Dentistry
  • Racine, WI
  • NPI 1184852998
  NPD Authorized official

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1235787730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 W QUINCY ST UNIT 1506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612911",
            "telephone_number": "218-329-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5892 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381658",
            "telephone_number": "218-329-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "WORTH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-329-2753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Alstrom, D.D.S.
• Ali Alsuhail, D.M.D
• Elissa Alsup, RN
• Susan Louise Alt, MD
• Alta Archer Heights
• Alta Pilsen PLLC
• MHD Muaz Altabbaa
• Raneem Altabbaa, MD
• Osamah Basil Altaee, MD
• Altagracia Clinic SC

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.