Grand Michigan Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GRAND MICHIGAN DENTISTRY, PC

Practice address

535 N Michigan Ave
Suite 202
Chicago, IL 60611-3814

Phone

(312) 527-4300

Fax

(312) 527-4471

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Christine Carpo Garza, DDS

Title

Partner

Phone

(312) 527-4300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christine Carpo Garza, D.D.S

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1760539712
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285676866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 N MICHIGAN AVE",
            "address_2": "SUITE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113814",
            "telephone_number": "312-527-4300",
            "fax_number": "312-527-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N MICHIGAN AVE",
            "address_2": "SUITE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113814",
            "telephone_number": "312-527-4300",
            "fax_number": "312-527-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MICHIGAN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARPO GARZA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "312-527-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Dentistry
• Grand Dentistry Loop, LLC
• Grand Gonaives
• Grand Home Health Care, Inc.
• Grand Medical Clinic, Inc
• Grand Pharmacy LLC
• Grand Smiles 2
• Grand Vein Specialists LLC
• Amy Grand, RN
• Kenyon Jacob Grand, DO

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.