Organization Active NPI

Comfort Teeth Pilsen

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1295415677
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMFORT TEETH PILSEN
Practice address
1253 W 18TH St
Chicago, IL 60608-3242
Phone
(773) 731-3300
NPI assigned
Jul 20, 2023
Organization subpart
Yes
Parent organization
COMFORT DENTAL STUDIOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Dr. Lawrence White, DMDNPI 1245418938
Title
Owner
Phone
(773) 731-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1253 W 18TH St
Chicago, IL 60608-3242

Mailing address

1253 W 18TH St
Chicago, IL 60608-3242
Phone (773) 731-3300

National Provider Directory

National Provider Directory
Part of
Comfort Dental Studio

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1295415677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083242",
            "telephone_number": "773-731-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083242",
            "telephone_number": "773-731-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT TEETH PILSEN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMFORT DENTAL STUDIO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-731-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 20, 2023; 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.