Individual provider Active NPI

Varoujan Dadourian, DDS

  • Dentist
  • Chicago, IL
National Provider Identifier
1386835528
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Aug 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
019019259ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.