Teeth Boutique PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TEETH BOUTIQUE PLLC

Doing business as

Teeth Boutique

Practice address

1933 W Irving Park Rd Ste 1
Chicago, IL 60613-5182

Phone

(773) 857-2280

Fax

(773) 857-2260

NPI assigned

Sep 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Rizwana MaskatiyaNPI 1780087619

Title

Owner

Phone

(773) 857-2280

Specialties & licenses 2

Addresses

Other names 1

• Teeth Boutique Doing business as

Locations

Practitioners 1

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

• Rizwana Maskatiya, D.D.S.

  • Dentist
  • Chicago, IL
  • NPI 1780087619

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1447086772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 W IRVING PARK RD STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 W IRVING PARK RD STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135182",
            "telephone_number": "773-857-2280",
            "fax_number": "773-857-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEETH BOUTIQUE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "MASKATIYA",
        "authorized_official_first_name": "RIZWANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-857-2280",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teeth Boutique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Teeth Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William T Tedford, D.D.S.
• Kim K Tee, D.P.M.
• David W Teegarden, M.D.
• Jenna Teegarden
• Matthew Teeters, LCSW
• Teeth Matter Inc.
• Teeth Matter on Kedzie P.C.
• Teeth Matter on Lawrence P.C.
• Sloan Teeuwen
• Mackenzie Tefft, LCSW

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.