J J Mitchell Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-19340 Issued in IL

Legal business name

J J MITCHELL DENTAL GROUP

Practice address

1525 E 53Rd St
Suite 821
Chicago, IL 60615-4557

Phone

(773) 955-0355

Fax

(773) 955-1175

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery C, Saffold, DDSNPI 1255616157

Title

Dentist

Phone

(773) 955-0355

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery Carl Saffold, DDS

  • Dentist
  • Woodridge, IL
  • NPI 1255616157
  NPD (past) Authorized official
• Jacqueline Faye Mitchell, DDS

  • Dentist
  • Chicago, IL
  • NPI 1740335884
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255457214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST",
            "address_2": "SUITE 821",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154557",
            "telephone_number": "773-955-0355",
            "fax_number": "773-955-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST",
            "address_2": "SUITE 821",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154557",
            "telephone_number": "773-955-0355",
            "fax_number": "773-955-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J J MITCHELL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAFFOLD",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "C,",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-955-0355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-19340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J C Medical Group LTD
• J C Reyes Pediatrics SC
• J F Zagotta & Associates LLC
• J I Goldman MD PC
• J I L Medical Consultancy LTD
• J M T Health Partners Inc
• J P Arteaga Corporation
• J R Roberts Medical Inc
• J Reeds Transportation LLC (J Reeds Transportation)
• J Sadowski MD PC

• 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 Aug 22, 2020; 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.