Organization Active NPI

Lincoln Dental Group

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1245544907
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19026240 Issued in IL
Legal business name
LINCOLN DENTAL GROUP
Practice address
2226 N Lincoln Ave
1
Chicago, IL 60614-6247
Phone
(773) 360-3333
NPI assigned
Aug 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Dr. Jasmine K Sandhu, DDS
Title
Dentist Owner
Phone
(773) 360-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19026240 IL Primary

Addresses

Primary practice location

2226 N Lincoln Ave
1
Chicago, IL 60614-6247

Mailing address

2226 N Lincoln Ave
1
Chicago, IL 60614-6247
Phone (773) 360-3333

Other names 1

  • Jasmine K Sandhu DDS Ltd Other name

National Provider Directory

National Provider Directory

Locations

2226 N Lincoln Ave
Ste 1
Chicago, IL 60614
Phone (773) 360-3333

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1245544907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 N LINCOLN AVE",
            "address_2": "1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146247",
            "telephone_number": "773-360-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 N LINCOLN AVE",
            "address_2": "1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146247",
            "telephone_number": "773-360-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "773-360-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19026240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasmine K Sandhu DDS Ltd",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 4, 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.