Hyde Park Dental Profile

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HYDE PARK DENTAL PROFILE

Practice address

1634 E 53Rd St
Suite 101&102
Chicago, IL 60615-4384

Phone

(773) 752-5677

Fax

(773) 752-6029

NPI assigned

Mar 13, 2008

Last updated

Mar 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amneh ArnousNPI 1417088931

Title

D.D.S

Phone

(773) 752-5677

Specialties & licenses 1

Addresses

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.

• Amneh Arnous, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1417088931
  Authorized official Same address or phone

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1366613671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 E 53RD ST",
            "address_2": "SUITE 101&102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154384",
            "telephone_number": "773-752-5677",
            "fax_number": "773-752-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 E 53RD ST",
            "address_2": "SUITE 101&102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154384",
            "telephone_number": "773-752-5677",
            "fax_number": "773-752-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK DENTAL PROFILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "ARNOUS",
        "authorized_official_first_name": "AMNEH",
        "authorized_official_title_or_position": "D.D.S",
        "authorized_official_telephone_number": "773-752-5677"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyde Park Associates in Medicine LTD
• Hyde Park Center for Healing LLC
• Hyde Park Chiropractic Wellness Center SC
• Hyde Park Counseling & Therapy PLLC
• Hyde Park Counseling & Therapy PLLC (Hyde Park Counseling & Therapy)
• Hyde Park Foot Care PLLC
• Hyde Park Medical Specialty Group, LLC
• Hyde Park Mental Wellness
• Hyde Park Podiatry Ctr LTD
• Hyde Park Surgery Center, LLC

• 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 13, 2008; 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.