Active NPI
Betsy H. Enriquez Dental Services, LTD.
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1558413583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19A-14737
- Legal business name
- BETSY H. ENRIQUEZ DENTAL SERVICES, LTD.
- Practice address
- 736 W 35TH St
Chicago, IL 60616-4484 - Phone
- (773) 247-3800
- Fax
- (847) 720-4757
- NPI assigned
- Jan 18, 2007
- Last updated
- Mar 31, 2008
- Organization subpart
- Yes
- Parent organization
- BETSY H. ENRIQUEZ D.D.S.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Betsy Helen Enriquez, D.D.S.
- Title
- Dentist
- Phone
- (773) 247-3800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19A-14737 | IL | Primary |
Addresses
Primary practice location
736 W 35TH St
Chicago, IL 60616-4484
Mailing address
736 W 35TH St
Chicago, IL 60616-4484
Phone (773) 247-3800
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1396910808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206921600000",
"number": "1558413583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 W 35TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606164484",
"telephone_number": "773-247-3800",
"fax_number": "847-720-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 W 35TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606164484",
"telephone_number": "773-247-3800",
"fax_number": "847-720-4757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETSY H. ENRIQUEZ DENTAL SERVICES, LTD.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BETSY H. ENRIQUEZ D.D.S.",
"enumeration_date": "2007-01-18",
"last_updated": "2008-03-31",
"status": "A",
"authorized_official_last_name": "ENRIQUEZ",
"authorized_official_first_name": "BETSY",
"authorized_official_middle_name": "HELEN",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "773-247-3800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "19A-14737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 31, 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.