Chicago Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHICAGO DENTISTRY LLC

Practice address

654 E 47TH St
Chicago, IL 60653-4224

Phone

(773) 624-5800

Fax

(773) 787-2400

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Hamza Mohammed

Title

Administrator

Phone

(630) 247-7216

Specialties & licenses 1

Addresses

Other names 1

• Archer Dentistry Chicago Doing business as

Locations

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1356045264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 W OGDEN AVE STE 108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404090",
            "telephone_number": "630-247-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 E 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534224",
            "telephone_number": "773-624-5800",
            "fax_number": "773-787-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "HAMZA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-247-7216"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archer Dentistry Chicago",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chicago Dental Institute
• Chicago Dental LLC
• Chicago Dental Partners, LLC
• Chicago Dental Professionals Inc
• Chicago Dental Specialists PC
• Chicago Department of Public Health
• Chicago Department of Public Health
• Chicago Department of Public Health
• Chicago Department of Public Health
• Chicago Department of Public Health

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.