NPIMap

Organization Active NPI

Precision Dental Care 2, LLC

Doing business as Precision Dental Care

  • Dentist
  • Chicago, IL
National Provider Identifier
1518280759
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019026820 Issued in IL
Legal business name
PRECISION DENTAL CARE 2, LLC
Doing business as
Precision Dental Care
Practice address
4830 N Pulaski Rd Ste 108
Chicago, IL 60630-2847
Phone
(773) 283-2100
Fax
(773) 283-2500
NPI assigned
Mar 2, 2010
Last updated
Mar 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Dr. Randy Chang, D.D.S.
Title
Member
Phone
(773) 283-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019026820 IL Primary

Addresses

Primary practice location

4830 N Pulaski Rd Ste 108
Chicago, IL 60630-2847

Mailing address

4830 N Pulaski Rd Ste 108
Chicago, IL 60630-2847
Phone (773) 283-2100

Other names 1

  • Precision Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Precision Dental Care2 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1518280759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 N PULASKI RD STE 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302847",
            "telephone_number": "773-283-2100",
            "fax_number": "773-283-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 N PULASKI RD STE 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302847",
            "telephone_number": "773-283-2100",
            "fax_number": "773-283-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DENTAL CARE 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "773-283-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 2, 2010; 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.