Organization Active NPI

Beauty Dental Inc

Doing business as Ida L Aguilar DDS

  • Dentist
  • Chicago, IL
National Provider Identifier
1336260371
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019020211 Issued in IL
Legal business name
BEAUTY DENTAL INC
Doing business as
Ida L Aguilar DDS
Practice address
3055 N Pulaski Rd
Chicago, IL 60641
Phone
(773) 286-5655
Fax
(773) 286-3084
NPI assigned
Apr 3, 2007
Last updated
Aug 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Dr. Ida Lucia Aguilar, DDSNPI 1962752758
Title
DDS
Phone
(773) 286-5655

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
Dentist 122300000X 019020211 IL Primary

Addresses

Primary practice location

3055 N Pulaski Rd
Chicago, IL 60641

Mailing address

3055 N Pulaski Rd
Chicago, IL 60641
Phone (773) 286-5655

Other names 1

  • Ida L Aguilar DDS Doing business as

National Provider Directory

National Provider Directory

Locations

3055 N Pulaski Rd
Chicago, IL 60641
Phone (773) 286-5655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1336260371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60641",
            "telephone_number": "773-286-5655",
            "fax_number": "773-286-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60641",
            "telephone_number": "773-286-5655",
            "fax_number": "773-286-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "IDA",
        "authorized_official_middle_name": "LUCIA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "773-286-5655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ida L Aguilar DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 16, 2012; 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.