Active NPI
Metro Dental LLC
- Dentist
- Chicago, IL
National Provider Identifier
1265841480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019025360
- Legal business name
- METRO DENTAL LLC
- Practice address
- 2746 W Fullerton Ave
Chicago, IL 60647-3059 - Phone
- (224) 392-2403
- NPI assigned
- Aug 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Inchun Yang, DDS
- Title
- Ceo
- Phone
- (224) 392-2403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019025360 | IL | Primary |
Addresses
Primary practice location
2746 W Fullerton Ave
Chicago, IL 60647-3059
Mailing address
1541 Market St
Des Plaines, IL 60016-4608
Phone (224) 392-2403
National Provider Directory
National Provider DirectoryLocations
2746 W Fullerton Ave
Chicago, IL 60647
Phone (501) 773-1233
1541 Market St
Des Plaines, IL 60016
Phone (847) 299-7171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407888000000",
"number": "1265841480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 MARKET ST",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164608",
"telephone_number": "224-392-2403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2746 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606473059",
"telephone_number": "224-392-2403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-13",
"last_updated": "2014-08-13",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "INCHUN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "224-392-2403",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": "019025360",
"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 Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.