NPIMap

Organization Active NPI

Trandai Dental Care

Doing business as Peterson FOREVER SMILES

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1275204208
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRANDAI DENTAL CARE
Doing business as
Peterson FOREVER SMILES
Practice address
3044 W. Peterson Ave
Chicago, IL 60659
Phone
(773) 878-1009
Fax
(773) 878-2453
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Mrs. Linh Thuy Tran, DMD
Title
Dentist / Owner
Phone
(847) 924-3979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3044 W. Peterson Ave
Chicago, IL 60659

Mailing address

3044 W. Peterson Ave
Chicago, IL 60659
Phone (773) 878-1009

Other names 1

  • Peterson FOREVER SMILES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trandai Dental Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1275204208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 W. PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60659",
            "telephone_number": "773-878-1009",
            "fax_number": "773-878-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 W. PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60659",
            "telephone_number": "773-878-1009",
            "fax_number": "773-878-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANDAI DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "LINH",
        "authorized_official_middle_name": "THUY",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "847-924-3979",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peterson FOREVER SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 21, 2021; 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.