Organization Active NPI

Affinity Dental

  • Dentist
  • Chicago, IL
National Provider Identifier
1346788395
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AFFINITY DENTAL
Practice address
2015 W Irving Park Rd
Chicago, IL 60618-3909
Phone
(773) 904-7079
Fax
(773) 698-7832
NPI assigned
Feb 9, 2017
Last updated
Feb 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Dr. Lana Savoie KavetsisNPI 1205034618
Title
Doctor/Practice Owner
Phone
(773) 904-7079

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X IL Primary

Addresses

Primary practice location

2015 W Irving Park Rd
Chicago, IL 60618-3909

Mailing address

2015 W Irving Park Rd
Chicago, IL 60618-3909
Phone (773) 904-7079

National Provider Directory

National Provider Directory

Locations

2015 W Irving Park Rd
Chicago, IL 60618
Phone (773) 904-7079

Practitioners & affiliated clinicians

Practitioners 2

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": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1346788395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183909",
            "telephone_number": "773-904-7079",
            "fax_number": "773-698-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183909",
            "telephone_number": "773-904-7079",
            "fax_number": "773-698-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "KAVETSIS",
        "authorized_official_first_name": "LANA",
        "authorized_official_middle_name": "SAVOIE",
        "authorized_official_title_or_position": "DOCTOR/PRACTICE OWNER",
        "authorized_official_telephone_number": "773-904-7079",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "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 Feb 9, 2017; 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.