NPIMap

Organization Active NPI

Chicago Dental Cosmetics

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1619212131
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019028105 Issued in IL
Legal business name
CHICAGO DENTAL COSMETICS
Practice address
6338 S Pulaski Rd
Chicago, IL 60629-4706
Phone
(708) 849-4644
NPI assigned
Dec 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Mustapha A Hotait, DDS
Title
President
Phone
(708) 849-4644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019028105 IL Primary

Addresses

Primary practice location

6338 S Pulaski Rd
Chicago, IL 60629-4706

Mailing address

6338 S Pulaski Rd
Chicago, IL 60629-4706

National Provider Directory

National Provider Directory
Tax ID family
Chicago Dental Cosmetics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1619212131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6338 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6338 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294706",
            "telephone_number": "708-849-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO DENTAL COSMETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "HOTAIT",
        "authorized_official_first_name": "MUSTAPHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-849-4644",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019028105",
            "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 Dec 10, 2012; 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.