NPIMap

Organization Active NPI

Hammond Dental Group

  • Dentist
  • Berwyn, IL
National Provider Identifier
1376863373
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12011374A Issued in IL
Legal business name
HAMMOND DENTAL GROUP
Practice address
3302 Grove Ave
Berwyn, IL 60402-3421
Phone
(773) 542-1916
Fax
(773) 542-1910
NPI assigned
Jun 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Dr. Oladimeji Ogbara, DDSNPI 1518128636
Title
President
Phone
(312) 678-5895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12011374A IL Primary

Addresses

Primary practice location

3302 Grove Ave
Berwyn, IL 60402-3421

Mailing address

3302 Grove Ave
Berwyn, IL 60402-3421
Phone (773) 542-1916

National Provider Directory

National Provider Directory

Locations

6414 Calumet Ave
#A
Hammond, IN 46324

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1376863373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 GROVE AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023421",
            "telephone_number": "773-542-1916",
            "fax_number": "773-542-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 GROVE AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023421",
            "telephone_number": "773-542-1916",
            "fax_number": "773-542-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOND DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "OGBARA",
        "authorized_official_first_name": "OLADIMEJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-678-5895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "12011374A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.