Organization Active NPI

Irving Park Dentistry, Inc.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1376847137
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Jan 7, 2011

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.