Organization Active NPI

Comfort Family Dental

  • Dentist
  • Chicago, IL
National Provider Identifier
1679974901
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019028834 Issued in IL
Legal business name
COMFORT FAMILY DENTAL
Practice address
2036 W 95TH St
Chicago, IL 60643-1116
Phone
(773) 366-8718
Fax
(708) 575-6496
NPI assigned
Sep 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Dr. Corie R Rowe, DMDNPI 1568746048
Title
Owner/Dentist
Phone
(773) 366-8718

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 019028834 IL Primary

Addresses

Primary practice location

2036 W 95TH St
Chicago, IL 60643-1116

Mailing address

2036 W 95TH St
Chicago, IL 60643-1116
Phone (773) 366-8718

Other identifiers 1

IdentifierTypeStateIssuer
1568746048OtherILNPI

National Provider Directory

National Provider Directory

Locations

2036 W 95th St
Chicago, IL 60643
Phone (773) 366-8718

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": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1679974901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431116",
            "telephone_number": "773-366-8718",
            "fax_number": "708-575-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431116",
            "telephone_number": "773-366-8718",
            "fax_number": "708-575-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "CORIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "773-366-8718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568746048",
            "state": "IL"
        }
    ],
    "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 Sep 5, 2014; 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.