Organization Active NPI

Colby James Aesthetic Dentistry PLLC

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1679388367
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COLBY JAMES AESTHETIC DENTISTRY PLLC
Practice address
1009 W Webster Ave
Chicago, IL 60614-0519
Phone
(312) 858-7067
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Dr. Colby J Gerth, DMDNPI 1821615139
Title
Ceo/Dentist
Phone
(217) 663-2384

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1009 W Webster Ave
Chicago, IL 60614-0519

Mailing address

1009 W Webster Ave
Chicago, IL 60614-0519
Phone (312) 858-7067

Other names 1

  • Pearl: Aesthetics & Dentistry Doing business as

National Provider Directory

National Provider Directory

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": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1679388367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 W WEBSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606140519",
            "telephone_number": "312-858-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W WEBSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606140519",
            "telephone_number": "312-858-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBY JAMES AESTHETIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "GERTH",
        "authorized_official_first_name": "COLBY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/DENTIST",
        "authorized_official_telephone_number": "217-663-2384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl: Aesthetics & Dentistry",
            "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 Feb 10, 2025; 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.