Active NPI
Varoujan Dadourian, DDS
- Dentist
- Chicago, IL
National Provider Identifier
1386835528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 3143 W Devon Ave
Chicago, IL 60659-1424 - Phone
- (773) 465-2922
- Fax
- (773) 465-2998
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
3143 W Devon Ave
Chicago, IL 60659-1424
Mailing address
3143 W Devon Ave
Chicago, IL 60659-1424
Phone (773) 465-2922
Other names 1
- Victor Varoujan Dadourian
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 |
|---|---|---|---|
| 019019259 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Dental Group, LTD. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1831490911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186272000000",
"number": "1386835528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3143 W DEVON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606591424",
"telephone_number": "773-465-2922",
"fax_number": "773-465-2998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3143 W DEVON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606591424",
"telephone_number": "773-465-2922",
"fax_number": "773-465-2998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADOURIAN",
"first_name": "VAROUJAN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICTOR",
"last_name": "DADOURIAN",
"middle_name": "VAROUJAN",
"credential": "DDS",
"code": "2",
"type": "Professional 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 Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.