Amerident Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-16545 Issued in IL

Legal business name

AMERIDENT ASSOCIATES

Doing business as

Amerident Dental Center

Practice address

4008 W 26TH St
Chicago, IL 60623-3708

Phone

(773) 277-0200

Fax

(773) 277-0202

NPI assigned

Aug 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kamal M Vibhakar, D.D.S

Title

Partner

Phone

(773) 277-0200

Specialties & licenses 1

Addresses

Other names 1

• Amerident Dental Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario Serrano, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1871729046
  NPD (past)

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1356535496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233708",
            "telephone_number": "773-277-0200",
            "fax_number": "773-277-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233708",
            "telephone_number": "773-277-0200",
            "fax_number": "773-277-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIDENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "VIBHAKAR",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "773-277-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-16545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amerident Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• American Ventures, LTD.
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• Americas Best Picc Inc
• Americas Disabled Homebound Inc.
• Amerigroup Illinois, Inc.
• Amerihelps Inc
• Amerihelps Inc
• Amerihelps Inc
• Lauretha Ames, LCSW

• 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 Aug 31, 2007; 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.