Active NPI
Belmont Dental Town
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1285023150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019027470
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.