Organization Active NPI

Belmont Dental Town

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1285023150
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019027470 Issued in IL
Legal business name
BELMONT DENTAL TOWN
Practice address
3600 W Belmont Ave
Chicago, IL 60618-5304
Phone
(708) 863-2000
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Dr. Sinan Razzak, DDS
Title
Owner/Dentist
Phone
(312) 810-2948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019027470 IL Primary

Addresses

Primary practice location

3600 W Belmont Ave
Chicago, IL 60618-5304

Mailing address

3600 W Belmont Ave
Chicago, IL 60618-5304

Other names 1

  • Dental Town Doing business as

National Provider Directory

National Provider Directory

Locations

3600 W Belmont Ave
Chicago, IL 60618
Phone (708) 863-2000

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1285023150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185304",
            "telephone_number": "708-863-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT DENTAL TOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "RAZZAK",
        "authorized_official_first_name": "SINAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "312-810-2948",
        "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": "019027470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Town",
            "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 Jan 15, 2015; 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.