Betsy H. Enriquez Dental Services, LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19A-14737 Issued in IL

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

Organization subpart

Yes

Parent organization

BETSY H. ENRIQUEZ D.D.S.As reported in NPPES

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "19A-14737",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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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 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.

Verify at the official NPI Registry.