Organization Active NPI

O'Hare Dental Group

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1295921500
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
O'HARE DENTAL GROUP
Practice address
O'Hare International Airport
Hilton Arcade Level
Chicago, IL 60666
Phone
(773) 601-8900
Fax
(773) 601-8988
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Dr. Mary C Ranieli, D.D.S.NPI 1528184629
Title
President
Phone
(773) 601-8900

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

O'Hare International Airport
Hilton Arcade Level
Chicago, IL 60666

Mailing address

11601 West Touhy Avenue
O'Hare International Airport-Hilton Arcade Level
Chicago, IL 60666
Phone (773) 601-8900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1295921500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 WEST TOUHY AVENUE",
            "address_2": "O'HARE INTERNATIONAL AIRPORT-HILTON ARCADE LEVEL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60666",
            "telephone_number": "773-601-8900",
            "fax_number": "773-601-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "O'HARE INTERNATIONAL AIRPORT",
            "address_2": "HILTON ARCADE LEVEL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60666",
            "telephone_number": "773-601-8900",
            "fax_number": "773-601-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'HARE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "RANIELI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-601-8900",
        "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": 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 Sep 20, 2007; 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.