Active NPI
Ami G Vaidya DMD SC
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1679852057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019027900
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryPractitioners & 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.
-
- Dentist
- Chicago, IL
- NPI 1912168030
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.