Active NPI
Proverbs 3 PC
Doing business as That's The Tooth
- General Practice Dentistry
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019022143
- Legal business name
- PROVERBS 3 PC
- Doing business as
- That's The Tooth
- Practice address
- 2447 W 79TH St
Chicago, IL 60652-1734 - Phone
- (773) 776-1285
- Fax
- (773) 776-3171
- NPI assigned
- Oct 15, 2005
- Last updated
- Sep 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patricia James
- Title
- President
- Phone
- (773) 776-1285
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019022143 | IL | Primary |
Addresses
Primary practice location
2447 W 79TH St
Chicago, IL 60652-1734
Mailing address
PO Box 20568
Chicago, IL 60620-0568
Phone (773) 776-1285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002342 | Medicaid | IL |
Other names 1
- That's The Tooth
National Provider Directory
National Provider Directory- Tax ID family
- Proverbs 3 PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1164597613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378425600000",
"number": "1396734026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20568",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606200568",
"telephone_number": "773-776-1285",
"fax_number": "773-776-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2447 W 79TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606521734",
"telephone_number": "773-776-1285",
"fax_number": "773-776-3171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVERBS 3 PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-15",
"last_updated": "2013-09-06",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-776-1285",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019022143",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1002342",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "That's The Tooth",
"code": "3",
"type": "Doing Business As"
}
]
}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 Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.