Chicagoland Community Pediatric Dentistry, P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

019026478 Issued in IL

Legal business name

CHICAGOLAND COMMUNITY PEDIATRIC DENTISTRY, P.C.

Practice address

836 W Wellington Ave
Chicago, IL 60657-5147

Phone

(847) 579-9013

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rosa N Ortega, DDS

Title

Pediatric Dentist

Phone

(847) 579-9013

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1497138135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 S MASSASOIT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "847-579-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGOLAND COMMUNITY PEDIATRIC DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "847-579-9013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019026478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago-Barton, LLC
• Chicagoland Ad Medical Inc
• Chicagoland Chiropractic Health Center S C
• Chicagoland Cognitive Assessment Center, LLC
• Chicagoland Community Pediatric Cardiology SC
• Chicagoland Complete Healthcare LLC
• Chicagoland Dental Associates PC
• Chicagoland Eye Consultants SC
• Chicagoland Eyecare Inc
• Chicagoland Family Care LLC

• Pediatric Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.