ER Dental Care LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.027006 Issued in IL

Legal business name

ER DENTAL CARE LTD

Doing business as

Complete Dental Care

Practice address

3205 W Irving Park Rd
Chicago, IL 60618-3301

Phone

(773) 267-2671

Fax

(773) 267-2628

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Sunita Sahu, DDS

Title

President

Phone

(630) 660-8929

Specialties & licenses 1

Addresses

Other names 1

• Complete Dental Care Doing business as

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1538333604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183301",
            "telephone_number": "773-267-2671",
            "fax_number": "773-267-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183301",
            "telephone_number": "773-267-2671",
            "fax_number": "773-267-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ER DENTAL CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "SAHU",
        "authorized_official_first_name": "SUNITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-660-8929",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Apr 18, 2008; 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.