NPIMap

Organization Active NPI

Devon Dental Surgery, LTD.

  • Dentist
  • Chicago, IL
National Provider Identifier
1437320652
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DEVON DENTAL SURGERY, LTD.
Practice address
1514 W Devon Ave
Chicago, IL 60660-1314
Phone
(773) 761-2521
Fax
(773) 761-2522
NPI assigned
Mar 15, 2008
Organization subpart
Yes
Parent organization
DEVON DENTAL SURGERY, LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Dr. Nina N Sanai, D.D.S.
Title
President/ Dentist
Phone
(773) 761-2521

Specialties & licenses 1

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

Addresses

Primary practice location

1514 W Devon Ave
Chicago, IL 60660-1314

Mailing address

1529 W Devon Ave
Chicago, IL 60660-1313
Phone (773) 761-2521

Other names 1

  • CHICAGO ORAL CARE, LTD. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Devon Dental Surgery LTD2 organizations share this tax ID, including this one
Part of
Devon Dental Surgery LTD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1514 W Devon Ave
Chicago, IL 60660
Phone (773) 761-2521

1529 W Devon Ave
Chicago, IL 60660

Practitioners & affiliated clinicians

Practitioners 3

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": "1205539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1437320652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601313",
            "telephone_number": "773-761-2521",
            "fax_number": "773-761-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601314",
            "telephone_number": "773-761-2521",
            "fax_number": "773-761-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVON DENTAL SURGERY, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEVON DENTAL SURGERY, LTD.",
        "enumeration_date": "2008-03-15",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "SANAI",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/ DENTIST",
        "authorized_official_telephone_number": "773-761-2521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHICAGO ORAL CARE, LTD.",
            "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 Mar 3, 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.