NPIMap

Organization Active NPI

Melvin and Jazmine Dillard DDS, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Evanston, IL
National Provider Identifier
1649657255
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
021002650 Issued in IL
Legal business name
MELVIN AND JAZMINE DILLARD DDS, PC
Practice address
1964 Dempster St
Evanston, IL 60202-1016
Phone
(312) 600-8119
NPI assigned
May 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Dr. Melvin Dillard, DDSNPI 1871856617
Title
Doctor
Phone
(847) 563-4484

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019029481 IL
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 021002650 IL Primary

Addresses

Primary practice location

1964 Dempster St
Evanston, IL 60202-1016

Mailing address

1964 Dempster St
Evanston, IL 60202-1016

Other practice location 1

9127 S Western Ave
Chicago, IL 60643-6731
Phone (773) 238-9777

Other names 1

  • Dental Art Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

9127 S Western Ave
Chicago, IL 60643
Phone (773) 238-9777

1964 Dempster St
Evanston, IL 60202
Phone (312) 600-8119

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1649657255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 DEMPSTER ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 DEMPSTER ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021016",
            "telephone_number": "312-600-8119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9127 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606436731",
            "country_code": "US",
            "telephone_number": "773-238-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MELVIN AND JAZMINE DILLARD DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-563-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029481",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021002650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Art Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Art Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.