Chatham Dental, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHATHAM DENTAL, LTD

Practice address

8544 S Stony Island Ave
Chicago, IL 60617-2248

Phone

(773) 221-0800

Fax

(773) 221-0868

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rodney Alan Blaney, D.M.D

Title

Dentist

Phone

(773) 221-0800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477567386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8544 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172248",
            "telephone_number": "773-221-0800",
            "fax_number": "773-221-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8544 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172248",
            "telephone_number": "773-221-0800",
            "fax_number": "773-221-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM DENTAL, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANEY",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-221-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Chastain
• Chataam Optical LLC
• Chandra Prakash Chataut, MD
• Francis Christopher Chaten, MD
• Chatham Dental Gallery
• Chatham Dentalworks PC
• Chatham Pharmacy Inc
• Chatham Satellite Senior Center
• Chatham Women'S Health
• Chatham Womens Health

• 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 Aug 22, 2020; 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.