Organization Active NPI

George Joseph DDS Ms LTD

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1679987622
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GEORGE JOSEPH DDS MS LTD
Practice address
3171 W Madison St
Chicago, IL 60612-1809
Phone
(773) 533-2332
Fax
(630) 242-2990
NPI assigned
Jun 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Dr. George Joseph, DDS
Title
President
Phone
(773) 533-2332

Specialties & licenses 1

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

Addresses

Primary practice location

3171 W Madison St
Chicago, IL 60612-1809

Mailing address

3171 W Madison St
Chicago, IL 60612-1809
Phone (773) 533-2332

Other identifiers 1

IdentifierTypeStateIssuer
019017963MedicaidIL

Other names 1

  • All Care Family Dental Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1679987622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121809",
            "telephone_number": "773-533-2332",
            "fax_number": "630-242-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121809",
            "telephone_number": "773-533-2332",
            "fax_number": "630-242-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE JOSEPH DDS MS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-533-2332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019017963",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Care Family Dental Center",
            "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 Jun 18, 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.