Organization Active NPI

DHCC.,LTD

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1447542774
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019023845 Issued in IL
Legal business name
DHCC.,LTD
Practice address
5500 S Damen Ave
Chicago, IL 60636-1107
Phone
(224) 678-3511
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Dr. Kishore Gopal, DMD
Title
Dentist/Owner
Phone
(224) 678-3511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 019023845 IL Primary

Addresses

Primary practice location

5500 S Damen Ave
Chicago, IL 60636-1107

Mailing address

5500 S Damen Ave
Chicago, IL 60636-1107

National Provider Directory

National Provider Directory
Tax ID family
Dhccltd2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1447542774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606361107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606361107",
            "telephone_number": "224-678-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHCC.,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "GOPAL",
        "authorized_official_first_name": "KISHORE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "224-678-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023845",
            "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 May 4, 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.