NPIMap

Organization Active NPI

Devon Dental Care

  • Dentist
  • Chicago, IL
National Provider Identifier
1558538686
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DEVON DENTAL CARE
Practice address
2820 W Devon Ave
Chicago, IL 60659-1502
Phone
(773) 764-3200
Fax
(773) 764-3225
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Mr. Manoj Kumar
Title
Office Manager
Phone
(773) 764-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2820 W Devon Ave
Chicago, IL 60659-1502

Mailing address

2820 W Devon Ave
Chicago, IL 60659-1502
Phone (773) 764-3200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1558538686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591502",
            "telephone_number": "773-764-3200",
            "fax_number": "773-764-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591502",
            "telephone_number": "773-764-3200",
            "fax_number": "773-764-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVON DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-764-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 May 8, 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.