Lake View Dental Associates, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019021676 Issued in IL

Legal business name

LAKE VIEW DENTAL ASSOCIATES, PC

Practice address

1014 W Belmont Ave
Chicago, IL 60657-3303

Phone

(773) 472-6322

Fax

(773) 472-6321

NPI assigned

Jul 24, 2013

Last updated

Jul 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott A Emalfarb, D.D.S.NPI 1083738256

Title

President

Phone

(773) 472-6322

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Scott A Emalfarb, D.D.S.

  • Dentist
  • Chicago, IL
  • NPI 1083738256
  NPD (past) Authorized official
• Jamie Cara Gorden, DMD

  • Dentist
  • Des Plaines, IL
  • NPI 1285513267
  NPD (past)
• Matthew Wallace Reese, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1043543796
  NPD (past)
• Coleman Jay Spector, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Chicago, IL
  • NPI 1083738264
  NPD (past)
• Arielle Wulfsohn

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1871945246
  NPD (past)

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1518309152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573303",
            "telephone_number": "773-472-6322",
            "fax_number": "773-472-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573303",
            "telephone_number": "773-472-6322",
            "fax_number": "773-472-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE VIEW DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "EMALFARB",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-472-6322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019021676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Shore Podiatry Center, LLC
• Lake Shore Podiatry Center, LLC
• Lake Shore Podiatry Center, LLC
• Lake Shore Surgical Associates, LTD.
• Lake Shore Therapy Center, Inc.
• Jacob S Lake, DDS
• Jennifer Zang Lake, LPC
• Mary E. Lake, M.D.
• Lakefront Counseling Group, LTD.
• Lakefront Emergency Physicians Medical Group, S.C.

• 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 Jul 24, 2013; 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.