Organization Active NPI

Phocused Consulting LLC

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1679048334
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PHOCUSED CONSULTING LLC
Practice address
1324 E 79TH St
Chicago, IL 60619-3402
Phone
(773) 221-4224
NPI assigned
Oct 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Mr. Philip Alexander
Title
Ceo
Phone
(708) 878-3016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1324 E 79TH St
Chicago, IL 60619-3402

Mailing address

24644 S Mulberry LN
Crete, IL 60417-3789
Phone (708) 878-3016

Other names 1

  • Phocused On Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

1324 E 79th St
Chicago, IL 60619
Phone (773) 221-4224

Practitioners & affiliated clinicians

Practitioners 1

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": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1679048334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24644 S MULBERRY LN",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604173789",
            "telephone_number": "708-878-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 E 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606193402",
            "telephone_number": "773-221-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOCUSED CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-878-3016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phocused On Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phocused On Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 30, 2018; 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.