Western Dental Group PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

021002372 Issued in IL

Legal business name

WESTERN DENTAL GROUP PC

Practice address

3935 N Western Ave
Suite 1S
Chicago, IL 60618-3761

Phone

(773) 588-1141

Fax

(773) 588-1143

NPI assigned

Mar 26, 2014

Organization subpart

Yes

Parent organization

NOAs reported in NPPES

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

Authorized official

Name

Simona Liliana KatonaNPI 1396971768

Title

Dentist/Owner

Phone

(312) 502-8073

Specialties & licenses 1

Addresses

Part of

Western Dental Group PC

Locations

Practitioners 2

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

• Simona Liliana Katona, LICENSED DENTIST

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1396971768
  NPD (past) Authorized official
• Sonia Shweiki, D.D.S.

  • Dentist
  • Chicago, IL
  • NPI 1386085306
  NPD (past)

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1669899613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 N WESTERN AVE",
            "address_2": "SUITE 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183761",
            "telephone_number": "773-588-1141",
            "fax_number": "773-588-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 N WESTERN AVE",
            "address_2": "SUITE 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183761",
            "telephone_number": "773-588-1141",
            "fax_number": "773-588-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN DENTAL GROUP PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "KATONA",
        "authorized_official_first_name": "SIMONA",
        "authorized_official_middle_name": "LILIANA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "312-502-8073"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021002372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Westcott, MSW, LSW
• Westend Pharmacy
• Katherine Westendorf, SLP
• Jill Westerfelhaus, LCPC
• Western Avenue Surgical Associates, LLC
• Western Energetics Physical Therapy LLC
• Western Labs Company
• Western Touhy Anesthesiology
• Matthew Western
• Jenny Anne Westervelt, MA, CCC-SLP

• Periodontics in Chicago, IL
• Providers in Chicago, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.