Aya Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AYA DENTAL

Practice address

2955 N Central Ave
Chicago, IL 60634-5348

Phone

(773) 286-5551

Fax

(773) 286-5552

NPI assigned

Mar 14, 2008

Last updated

Mar 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Milan Roncevic

Title

General Manager

Phone

(630) 516-0000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1649441932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345348",
            "telephone_number": "773-286-5551",
            "fax_number": "773-286-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345348",
            "telephone_number": "773-286-5551",
            "fax_number": "773-286-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "RONCEVIC",
        "authorized_official_first_name": "MILAN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "630-516-0000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Axis Medical Management Goup SC (New Life Medical Center)
• Axis Physical Medicine
• Christopher Michael Robert Axline
• Lauren Anne Axton, PSY.D.
• Aya Counseling LLC
• Carolina Ayala, PA-C
• Fatima Ayala
• Gelique Ayala, MD
• Griselda Ayala, RD
• Jazzlyn Monique Ayala, LSW

• 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 14, 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.