Individual provider Active NPI

Beth Shiyou Dunmire, DMD

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1386489540
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.035279 Issued in IL
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

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
019.035279ILMDGeneral 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.

Verify at the official NPI Registry.