NPIMap

Organization Active NPI

Mynt Dental Frannklin Park LLC

Doing business as Mynt Dental

  • General Practice Dentistry
  • Franklin Park, IL
National Provider Identifier
1588042642
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MYNT DENTAL FRANNKLIN PARK LLC
Doing business as
Mynt Dental
Practice address
2731 Mannheim Rd
Franklin Park, IL 60131-2219
Phone
(312) 259-2952
NPI assigned
May 9, 2015
Last updated
Jun 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Dr. Sasan MolaviNPI 1467680504
Title
Manager
Phone
(630) 381-8281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

2731 Mannheim Rd
Franklin Park, IL 60131-2219

Mailing address

2731 Mannheim Rd
Franklin Park, IL 60131-2219
Phone (312) 259-2952

Other names 1

  • Mynt Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2731 Mannheim Rd
Franklin Park, IL 60131
Phone (312) 999-9995

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": "1431129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1588042642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 MANNHEIM RD",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312219",
            "telephone_number": "312-259-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 MANNHEIM RD",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312219",
            "telephone_number": "312-259-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYNT DENTAL FRANNKLIN PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-09",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "MOLAVI",
        "authorized_official_first_name": "SASAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-381-8281",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mynt Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mynt Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.