Organization Active NPI

Big Wave Dental PC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1669355434
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BIG WAVE DENTAL PC
Practice address
3739 W 26TH St
Chicago, IL 60623-3827
Phone
(773) 762-0626
NPI assigned
Jul 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Jit Chan, DDSNPI 1154497311
Title
President
Phone
(219) 465-8627

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3739 W 26TH St
Chicago, IL 60623-3827

Mailing address

PO Box 5365
Woodridge, IL 60517-0365
Phone (773) 762-0626

Other practice location 1

335 N Schmidt Rd
Bolingbrook, IL 60440-1702
Phone (630) 759-1200

Other practice location 2

1414 W Chicago Ave
Chicago, IL 60642-5403
Phone (773) 609-4483

National Provider Directory

National Provider Directory

Locations

3739 W 26th St
Chicago, IL 60623
Phone (773) 762-0626

Practitioners & affiliated clinicians

Practitioners 6

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": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1669355434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5365",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605170365",
            "telephone_number": "773-762-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233827",
            "telephone_number": "773-762-0626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 N Schmidt Rd",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604401702",
            "country_code": "US",
            "telephone_number": "630-759-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 W Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606425403",
            "country_code": "US",
            "telephone_number": "773-609-4483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIG WAVE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-465-8627",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Jun 2, 2026; 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.