Montclare Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MONTCLARE DENTAL INC

Practice address

7185 W. Grand Ave.
Chicago, IL 60707

Phone

(773) 622-1818

Fax

(773) 622-8370

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Adnan Atcha, DMDNPI 1477613586

Title

Owner

Phone

(773) 622-1818

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Adnan D Atcha, DMD

  • Dentist
  • Chicago, IL
  • NPI 1477613586
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285731208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7185 W. GRAND AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60707",
            "telephone_number": "773-622-1818",
            "fax_number": "773-622-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7185 W. GRAND AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60707",
            "telephone_number": "773-622-1818",
            "fax_number": "773-622-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLARE DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATCHA",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-622-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004377",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlenne Montanez
• Bailey Montano
• Jerico Montano, PT
• Amanda J Montbriand, DPT
• Meghan Montcalm, RN, IBCLC
• Montclare Senior Residences SLF of Lawndale LLC (Montclare Senior Residences SLF of Lawndale)
• Carolyn Monteagudo, LSW
• Tamara Montealegre, LCSW
• Gabriella Monteiro, PA-C
• Doug Alan Monteith, M.D.

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.