Active NPI
Alexander Ian Upwards, DMD
- Dentist
- Chicago, IL
National Provider Identifier
1649823089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019032268
- Practice address
- 5738 W Belmont Ave
Chicago, IL 60634-5208 - Phone
- (773) 685-2135
- NPI assigned
- Jul 23, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019032268 | IL | Primary |
Addresses
Primary practice location
5738 W Belmont Ave
Chicago, IL 60634-5208
Mailing address
2940 N Kimball Ave Apt 2
Chicago, IL 60618-6846
Phone (317) 501-5793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019032268 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reshma Dhake DDS LTD | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1649823089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 N KIMBALL AVE APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606186846",
"telephone_number": "317-501-5793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5738 W BELMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606345208",
"telephone_number": "773-685-2135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPWARDS",
"first_name": "ALEXANDER",
"middle_name": "IAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-23",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019032268",
"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 Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.