Active NPI
Philip Nguyen
- General Practice Dentistry
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019036230
- Practice address
- 712 E 87TH St
Chicago, IL 60619-6246 - Phone
- (773) 783-9000
- NPI assigned
- May 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019036230 | IL | Primary |
Addresses
Primary practice location
712 E 87TH St
Chicago, IL 60619-6246
Mailing address
7039 Stone Run Dr
Brentwood, TN 37027-7898
Phone (615) 969-5984
Other practice location 1
17653 Torrence Ave
Lansing, IL 60438-4839
Phone (708) 418-8899
Other practice location 2
1 Chicago Ave
Oak Park, IL 60302-2432
Phone (708) 948-7744
Other practice location 3
2101 E 71st St
Chicago, IL 60649-2143
Phone (773) 241-7000
Other practice location 4
5622 W Touhy Ave
Niles, IL 60714-4001
Phone (847) 983-4202
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019036230 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiling Dental International P.C. | Current | Accepting new patients | |
| Pro Dental Il - Chad Wise PC | General Practice | Past | Accepting new patients |
| D2 Dental of Lansing, P.C. | General Practice | Past | Accepting new patients |
Locations
712 E 87th St
Chicago, IL 60619
Phone (773) 456-7071
Organizations & group practices 3
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.
-
- Dentist
- Chicago, IL
- NPI 1487232872
-
- General Practice Dentistry
- Oak Park, IL
- NPI 1891259768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1417747643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7039 STONE RUN DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277898",
"telephone_number": "615-969-5984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 E 87TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606196246",
"telephone_number": "773-783-9000"
}
],
"practiceLocations": [
{
"address_1": "17653 Torrence Ave",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "IL",
"postal_code": "604384839",
"country_code": "US",
"telephone_number": "708-418-8899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Chicago Ave",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603022432",
"country_code": "US",
"telephone_number": "708-948-7744",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2101 E 71st St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606492143",
"country_code": "US",
"telephone_number": "773-241-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5622 W Touhy Ave",
"address_purpose": "LOCATION",
"city": "Niles",
"state": "IL",
"postal_code": "607144001",
"country_code": "US",
"telephone_number": "847-983-4202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "PHILIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-09",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019036230",
"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 Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.