Ngoc-Tuyen Thi Phi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019022077 Issued in IL

Practice address

2424 W Peterson Ave
Chicago, IL 60659-4100

Phone

(773) 761-0300

Fax

(773) 761-0009

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jennifer Ngoc-Tuyen Phi Professional name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jennifer Phi,DDS,PC

  • Dentist
  • Chicago, IL
  • NPI 1649415803
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1376764431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 N BROADWAY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "773-275-1280",
            "fax_number": "773-275-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594100",
            "telephone_number": "773-761-0300",
            "fax_number": "773-761-0009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 W Peterson Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60659",
            "country_code": "US",
            "telephone_number": "773-761-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8800 Lockwood Ave",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771500",
            "country_code": "US",
            "telephone_number": "773-761-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8321 W Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "IL",
            "postal_code": "607141113",
            "country_code": "US",
            "telephone_number": "773-761-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4945 N. Broadway Ave.",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60640",
            "country_code": "US",
            "telephone_number": "773-275-1280",
            "fax_number": "773-275-1267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHI",
        "first_name": "NGOC-TUYEN",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019022077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PHI",
            "middle_name": "NGOC-TUYEN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.