Organization Active NPI

Little Chompers Pediatric Dentistry

  • Pediatric Dentistry
  • Chicago, IL
National Provider Identifier
1417664020
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LITTLE CHOMPERS PEDIATRIC DENTISTRY
Practice address
5305 N Clark St
Chicago, IL 60640-2113
Phone
(312) 471-6430
Fax
(312) 471-6431
NPI assigned
Nov 2, 2022
Last updated
Nov 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Dr. Michael P Rabinowitz, DDSNPI 1578827770
Title
Managing Member
Phone
(847) 962-6321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

5305 N Clark St
Chicago, IL 60640-2113

Mailing address

5305 N Clark St
Chicago, IL 60640-2113
Phone (312) 471-6430

National Provider Directory

National Provider Directory

Locations

5305 N Clark St
Chicago, IL 60640
Phone (312) 471-6430

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.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1417664020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402113",
            "telephone_number": "312-471-6430",
            "fax_number": "312-471-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402113",
            "telephone_number": "312-471-6430",
            "fax_number": "312-471-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE CHOMPERS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "RABINOWITZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "847-962-6321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "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 Nov 2, 2022; 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.