Organization Active NPI

Advantage Dental Care, LLC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1679646962
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ADVANTAGE DENTAL CARE, LLC
Practice address
7300 N Western Ave
Suite J
Chicago, IL 60645-1857
Phone
(773) 338-8433
Fax
(773) 338-8434
NPI assigned
Nov 16, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Randy Chang, DDSNPI 1013913342
Title
Owner
Phone
(773) 772-8001

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 Dentistry 1223G0001X IL Primary

Addresses

Primary practice location

7300 N Western Ave
Suite J
Chicago, IL 60645-1857

Mailing address

7300 N Western Ave
Suite J
Chicago, IL 60645-1857
Phone (773) 338-8433

National Provider Directory

National Provider Directory
Tax ID family
Advantage Dental Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7300 N Western Ave
Ste J
Chicago, IL 60645
Phone (773) 338-8433

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1679646962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 N WESTERN AVE",
            "address_2": "SUITE J",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451857",
            "telephone_number": "773-338-8433",
            "fax_number": "773-338-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 N WESTERN AVE",
            "address_2": "SUITE J",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451857",
            "telephone_number": "773-338-8433",
            "fax_number": "773-338-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-772-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "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 Mar 7, 2023; 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.