Organization Active NPI

Gui Dental Center LLC

  • Dentist
  • Chicago, IL
National Provider Identifier
1326209727
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019024684 Issued in IL
Legal business name
GUI DENTAL CENTER LLC
Practice address
3845 W 26TH St
2ND FL
Chicago, IL 60623
Phone
(773) 762-0668
Fax
(773) 762-0668
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Juinxun Gui, DDS
Title
Owner
Phone
(773) 762-0668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019024684 IL Primary

Addresses

Primary practice location

3845 W 26TH St
2ND FL
Chicago, IL 60623

Mailing address

1308 S Plymouth CT
Chicago, IL 60605
Phone (773) 762-0668

Other identifiers 1

IdentifierTypeStateIssuer
1002077MedicaidIL

National Provider Directory

National Provider Directory

Locations

3845 W 26th St
#2
Chicago, IL 60623
Phone (773) 762-0668

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": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1326209727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 S PLYMOUTH CT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60605",
            "telephone_number": "773-762-0668",
            "fax_number": "773-762-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 W 26TH ST",
            "address_2": "2ND FL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60623",
            "telephone_number": "773-762-0668",
            "fax_number": "773-762-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUI DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "GUI",
        "authorized_official_first_name": "JUINXUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-762-0668",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019024684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002077",
            "state": "IL"
        }
    ],
    "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 Jun 19, 2008; 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.