Advantage Dental Care, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ADVANTAGE DENTAL CARE, LLC

Practice address

2020 N California Ave
Unit #5
Chicago, IL 60647-6319

Phone

(773) 772-8001

Fax

(773) 772-8033

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Randy Chang, D.D.S.NPI 1013913342

Title

Owner

Phone

(773) 772-8001

Specialties & licenses 1

Addresses

Tax ID family

Advantage Dental Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advantage Dental Care, LLC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1679646962
  NPD tax ID

Locations

Practitioners 1

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

• Randy Chang, D.D.S.

  • General Practice Dentistry
  • Waukegan, IL
  • NPI 1013913342

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1295890705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N CALIFORNIA AVE",
            "address_2": "UNIT #5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476319",
            "telephone_number": "773-772-8001",
            "fax_number": "773-772-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N CALIFORNIA AVE",
            "address_2": "UNIT #5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476319",
            "telephone_number": "773-772-8001",
            "fax_number": "773-772-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-772-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advantage Dental Care, LLC
• Advantage Imaging, LLC
• Advantage MRI-Logan Square, LLC
• Advent Medical Corp
• Adventist Health Partners, Inc

• All providers in Chicago, IL
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.