Organization Active NPI

Northwest Dentistry

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1245471291
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019026286 Issued in IL
Legal business name
NORTHWEST DENTISTRY
Practice address
6676 N Northwest Hwy
Suite 1
Chicago, IL 60631-1306
Phone
(773) 631-6677
Fax
(773) 631-6679
NPI assigned
Mar 19, 2009
Last updated
Mar 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Dr. Thao Hoai Bui, DMD
Title
Owner
Phone
(773) 631-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019026286 IL Primary

Addresses

Primary practice location

6676 N Northwest Hwy
Suite 1
Chicago, IL 60631-1306

Mailing address

6676 N Northwest Hwy
Suite 1
Chicago, IL 60631-1306
Phone (773) 631-6677

National Provider Directory

National Provider Directory

Locations

6676 N Northwest Hwy
Ste 1
Chicago, IL 60631
Phone (773) 631-6677

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1245471291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6676 N NORTHWEST HWY",
            "address_2": "SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311306",
            "telephone_number": "773-631-6677",
            "fax_number": "773-631-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6676 N NORTHWEST HWY",
            "address_2": "SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311306",
            "telephone_number": "773-631-6677",
            "fax_number": "773-631-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "THAO",
        "authorized_official_middle_name": "HOAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-631-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026286",
            "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 Mar 19, 2009; 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.