Organization Active NPI

Ami G Vaidya DMD SC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1679852057
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019027900 Issued in IL
Legal business name
AMI G VAIDYA DMD SC
Practice address
3900 W Madison St
Suite 12
Chicago, IL 60624-2354
Phone
(773) 533-4323
NPI assigned
Aug 16, 2011
Last updated
Aug 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Dr. Ami Vaidya, DMD
Title
Dentist
Phone
(773) 533-4323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019027900 IL Primary

Addresses

Primary practice location

3900 W Madison St
Suite 12
Chicago, IL 60624-2354

Mailing address

3900 W Madison St
Suite 12
Chicago, IL 60624-2354

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, 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": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1679852057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W MADISON ST",
            "address_2": "SUITE 12",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606242354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W MADISON ST",
            "address_2": "SUITE 12",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606242354",
            "telephone_number": "773-533-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMI G VAIDYA DMD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "VAIDYA",
        "authorized_official_first_name": "AMI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-533-4323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027900",
            "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 Aug 16, 2011; 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.