NPIMap

Organization Active NPI

Ora Dental Studio West Loop LLC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1427339662
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19022824 Issued in IL
Legal business name
ORA DENTAL STUDIO WEST LOOP LLC
Practice address
937 W Randolph St
Chicago, IL 60607-2229
Phone
(312) 491-9494
NPI assigned
Sep 1, 2011
Last updated
Sep 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Authorized official

Name
Dr. Mladen Kralj, DMDNPI 1649340209
Title
Owner
Phone
(312) 491-9494

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19022824 IL Primary

Addresses

Primary practice location

937 W Randolph St
Chicago, IL 60607-2229

Mailing address

937 W Randolph St
Chicago, IL 60607-2229
Phone (312) 491-9494

National Provider Directory

National Provider Directory

Locations

937 W Randolph St
Chicago, IL 60607
Phone (312) 491-9494

Practitioners & affiliated clinicians

Practitioners 2

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": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1427339662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 W RANDOLPH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072229",
            "telephone_number": "312-491-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 W RANDOLPH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072229",
            "telephone_number": "312-491-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORA DENTAL STUDIO WEST LOOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "KRALJ",
        "authorized_official_first_name": "MLADEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-491-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19022824",
            "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 Sep 1, 2011; 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.