Individual provider Active NPI

Zharkynai Satylganova

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1346832607
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
01903291988 Issued in IL
Practice address
4039 W North Ave
Chicago, IL 60639-5219
Phone
(773) 782-4800
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 01903291988 IL Primary

Addresses

Primary practice location

4039 W North Ave
Chicago, IL 60639-5219

Mailing address

4039 W North Ave
Chicago, IL 60639-5219
Phone (773) 782-4800

Other practice location 1

6560 W Fullerton Ave Unit C106
Chicago, IL 60707-3439
Phone (773) 385-6700

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Chicago

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Experts, LLC General Practice PastSince Feb 14, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1346832607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606395219",
            "telephone_number": "773-782-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606395219",
            "telephone_number": "773-782-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6560 W Fullerton Ave Unit C106",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "607073439",
            "country_code": "US",
            "telephone_number": "773-385-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATYLGANOVA",
        "first_name": "ZHARKYNAI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01903291988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "address_1": "4039 W North Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606395219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 8, 2021; 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.