Organization Active NPI

Sloop Dental Inc

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1689939969
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019.027497 Issued in IL
Legal business name
SLOOP DENTAL INC
Practice address
1440 S Wabash Ave
Unit 101
Chicago, IL 60605-2897
Phone
(312) 340-5761
NPI assigned
Jul 11, 2012
Last updated
Jul 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Dr. Kenneth James Allen, D.M.D.NPI 1235324377
Title
President
Phone
(312) 340-5761

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
Dental Clinic/Center 261QD0000X 019.027497 IL Primary

Addresses

Primary practice location

1440 S Wabash Ave
Unit 101
Chicago, IL 60605-2897

Mailing address

1440 S Wabash Ave
Unit 101
Chicago, IL 60605-2897
Phone (312) 340-5761

National Provider Directory

National Provider Directory

Locations

1440 S Wabash Ave
Unit 101
Chicago, IL 60605
Phone (312) 340-5761

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": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1689939969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S WABASH AVE",
            "address_2": "UNIT 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052897",
            "telephone_number": "312-340-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 S WABASH AVE",
            "address_2": "UNIT 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052897",
            "telephone_number": "312-340-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLOOP DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-340-5761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019.027497",
            "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 Jul 11, 2012; 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.