Organization Active NPI

Betsy H. Enriquez Dental Services, LTD.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1558413583
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
BETSY H. ENRIQUEZ D.D.S.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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.NPI 1396910808
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.