Organization Active NPI

Elisa Ochoa DDS LTD

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1275355604
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELISA OCHOA DDS LTD
Practice address
971 W 18TH St
Chicago, IL 60608-2362
Phone
(773) 490-1075
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Elisa Ochoa, DDSNPI 1679850556
Title
General Dentist
Phone
(773) 490-1075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

971 W 18TH St
Chicago, IL 60608-2362

Mailing address

971 W 18TH St
Chicago, IL 60608-2362

Other names 1

  • Elisa ochoa dds ltd Former legal business name

National Provider Directory

National Provider Directory

Locations

971 W 18th St
Chicago, IL 60608
Phone (312) 971-8528

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1275355604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082362",
            "telephone_number": "773-490-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISA OCHOA DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "OCHOA",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "773-490-1075",
        "authorized_official_credential": "DDS"
    },
    "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": "Elisa ochoa dds ltd",
            "code": "4",
            "type": "Former Legal Business 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 Oct 28, 2024; 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.