Athena Dental Institute, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019022059 Issued in IL

Legal business name

ATHENA DENTAL INSTITUTE, P.C.

Practice address

116 W Hubbard St
6TH Floor
Chicago, IL 60654-8542

Phone

(312) 527-1500

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Andrea M Miller Finch, D.D.S.NPI 1124028113

Title

Dentist

Phone

(312) 527-1500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ATHENA DENTAL GROUP OF CHICAGO Doing business as

Tax ID family

Athena Dental Group of Chicago2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Athena Dental Institute P C

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1427580075
  NPD tax ID

Locations

Practitioners 1

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

• Andrea M Miller Finch, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1124028113
  NPD Authorized official

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262304000000",
    "number": "1245401124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1145",
            "address_2": "P.O. BOX 1145",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604237145",
            "telephone_number": "312-527-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W HUBBARD ST",
            "address_2": "6TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606548542",
            "telephone_number": "312-527-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA DENTAL INSTITUTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2010-01-01",
        "status": "A",
        "authorized_official_last_name": "MILLER FINCH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "312-527-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019022059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002966",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124028113",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATHENA DENTAL GROUP OF CHICAGO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Edgar Atchley, MA, CCC-SLP
• Safura Ateeq, DO
• Mary Atha, NP
• Athanasia Sarros, D.P.M., LLC
• Athena Dental Institute P C
• Athenos Medical Diagnostics, LTD
• Fayaz Syed Ather, D.C.
• Tiffany Athey, MSN, APN
• Aravind Athiviraham, M.D.
• Athletic & Therapeutic Institute of Naperville, LLC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2010; 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.