Active NPI
Irving Park Dentistry, Inc.
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1376847137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- IRVING PARK DENTISTRY, INC.
- Practice address
- 1933 W Irving Park Rd
Chicago, IL 60613-5180 - Phone
- (312) 919-6266
- NPI assigned
- Jan 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nada Zayzafoon, DMD
- Title
- Owner
- Phone
- (312) 919-6266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1933 W Irving Park Rd
Chicago, IL 60613-5180
Mailing address
1933 W Irving Park Rd
Chicago, IL 60613-5180
Phone (312) 919-6266
Other names 1
- zayzafoon dental care, inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294358400000",
"number": "1376847137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1933 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606135180",
"telephone_number": "312-919-6266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606135180",
"telephone_number": "312-919-6266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRVING PARK DENTISTRY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-07",
"last_updated": "2011-01-07",
"status": "A",
"authorized_official_last_name": "ZAYZAFOON",
"authorized_official_first_name": "NADA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-919-6266",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "zayzafoon dental care, inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.