Nissi Dental Care Inc

Primary specialty

DentistTaxonomy code 122300000X

License

019026962 Issued in IL

Legal business name

NISSI DENTAL CARE INC

Practice address

5918 W Higgins Ave
Chicago, IL 60630-1905

Phone

(773) 837-6176

NPI assigned

Feb 2, 2017

Organization subpart

No

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

Authorized official

Name

Thu Nguyen, DDS

Title

President

Phone

(773) 837-6176

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1396283909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301905",
            "telephone_number": "773-837-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISSI DENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-837-6176",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Nissan, MD
• George Ronen Nissan, DO
• Linora Nissan, DMD
• Michael Esha Nissan, MD
• Ninos Nissan, MD
• Marilyn Nissim-Sabat, L.C.S.W.
• Sheila N Nissim, L.C.S.W.
• George M Nista, O.D.
• Cristina Nistler, ATC
• Cheryl P Nitekman, CRNA

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.