CD Dental Care LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019028622 Issued in IL

Legal business name

CD DENTAL CARE LTD

Practice address

452 N Western Ave
B
Chicago, IL 60612-1420

Phone

(312) 964-5056

NPI assigned

May 27, 2016

Last updated

May 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Avanti Sanghavi

Title

Dentist

Phone

(312) 964-5056

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1295183424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 N WESTERN AVE",
            "address_2": "B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 N WESTERN AVE",
            "address_2": "B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121420",
            "telephone_number": "312-964-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CD DENTAL CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "SANGHAVI",
        "authorized_official_first_name": "AVANTI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "312-964-5056",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 May 27, 2016; 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.