NPIMap

Organization Active NPI

Oradent Associates, LTD.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1487848214
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19A13365 Issued in IL
Legal business name
ORADENT ASSOCIATES, LTD.
Practice address
6258 N Lincoln Ave
Chicago, IL 60659-2235
Phone
(773) 478-5520
Fax
(773) 478-1319
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Dr. Larry I Hoffman, DDSNPI 1619049905
Title
President
Phone
(773) 478-5520

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 19A13365 IL Primary

Addresses

Primary practice location

6258 N Lincoln Ave
Chicago, IL 60659-2235

Mailing address

6258 N Lincoln Ave
Chicago, IL 60659-2235
Phone (773) 478-5520

National Provider Directory

National Provider Directory

Locations

6258 N Lincoln Ave
Chicago, IL 60659
Phone (773) 478-5520

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": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1487848214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6258 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592235",
            "telephone_number": "773-478-5520",
            "fax_number": "773-478-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6258 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592235",
            "telephone_number": "773-478-5520",
            "fax_number": "773-478-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORADENT ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-478-5520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19A13365",
            "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 5, 2007; 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.