Organization Active NPI

Ora Dental Studio, River North

  • Dentist
  • Chicago, IL
National Provider Identifier
1417313347
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019024315 Issued in IL
Legal business name
ORA DENTAL STUDIO, RIVER NORTH
Practice address
326 W Illinois St
Chicago, IL 60654-7677
Phone
(312) 836-1166
NPI assigned
Jan 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Goran Kralj, DDS
Title
Owner
Phone
(312) 836-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019024315 IL Primary

Addresses

Primary practice location

326 W Illinois St
Chicago, IL 60654-7677

Mailing address

326 W Illinois St
Chicago, IL 60654-7677
Phone (312) 836-1166

National Provider Directory

National Provider Directory

Locations

326 W Illinois St
Chicago, IL 60654
Phone (312) 836-1166

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1417313347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 W ILLINOIS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547677",
            "telephone_number": "312-836-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W ILLINOIS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547677",
            "telephone_number": "312-836-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORA DENTAL STUDIO, RIVER NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "KRALJ",
        "authorized_official_first_name": "GORAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-836-1166",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019024315",
            "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 Jan 7, 2016; 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.