Active NPI
Beth Shiyou Dunmire, DMD
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1386489540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.035279
- Practice address
- 1259 S Wabash Ave
Chicago, IL 60605-2412 - Phone
- (312) 846-6752
- NPI assigned
- Jun 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.035279 | IL | Primary |
Addresses
Primary practice location
1259 S Wabash Ave
Chicago, IL 60605-2412
Mailing address
220 W Illinois St Unit 2103
Chicago, IL 60654-4645
Phone (228) 493-2384
Other practice location 1
5255 N Clark St
Chicago, IL 60640-2122
Phone (312) 561-6359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.035279 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1386489540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W ILLINOIS ST UNIT 2103",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606544645",
"telephone_number": "228-493-2384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 S WABASH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052412",
"telephone_number": "312-846-6752"
}
],
"practiceLocations": [
{
"address_1": "5255 N Clark St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606402122",
"country_code": "US",
"telephone_number": "312-561-6359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNMIRE",
"first_name": "BETH",
"middle_name": "SHIYOU",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-28",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.035279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.