Active NPI
McGowan Family Dental
- Dental Clinic/Center
- Chicago, IL
National Provider Identifier
1528875762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MCGOWAN FAMILY DENTAL
- Practice address
- 3250 W 111TH St
Chicago, IL 60655-2729 - Phone
- (773) 232-5383
- NPI assigned
- Dec 11, 2024
- Organization subpart
- Yes
- Parent organization
- MCGOWAN FAMILY DENTAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelly McGowan
- Title
- Dentist/ Owner
- Phone
- (708) 846-6013
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
3250 W 111TH St
Chicago, IL 60655-2729
Mailing address
3250 W 111TH St
Chicago, IL 60655-2729
Phone (773) 232-5383
Other practice location 1
14540 John Humphrey Dr
Orland Park, IL 60462-2983
Phone (708) 349-5800
Other names 1
- McGowan Family Dental
National Provider Directory
National Provider Directory- Part of
- McGowan Family Dental
Locations
14540 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 349-5800
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Chicago, IL
- NPI 1730632738
-
- General Practice Dentistry
- Chicago, IL
- NPI 1891536975
-
- General Practice Dentistry
- Chicago, IL
- NPI 1396466983
-
- General Practice Dentistry
- Chicago, IL
- NPI 1225721129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733875200000",
"number": "1528875762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 W 111TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606552729",
"telephone_number": "773-232-5383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 W 111TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606552729",
"telephone_number": "773-232-5383"
}
],
"practiceLocations": [
{
"address_1": "14540 John Humphrey Dr",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"postal_code": "604622983",
"country_code": "US",
"telephone_number": "708-349-5800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MCGOWAN FAMILY DENTAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MCGOWAN FAMILY DENTAL",
"enumeration_date": "2024-12-11",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A",
"authorized_official_last_name": "MCGOWAN",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "DENTIST/ OWNER",
"authorized_official_telephone_number": "708-846-6013",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "McGowan Family Dental",
"code": "5",
"type": "Other Name"
}
]
}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 Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.