Organization Active NPI

Mary Joyce Gomez, DDS, P.C.

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1700222833
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019029129 Issued in IL
Legal business name
MARY JOYCE GOMEZ, DDS, P.C.
Practice address
30 N Michigan Ave
Suite 1821
Chicago, IL 60602-3402
Phone
(312) 984-0032
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Dr. Mary Joyce D. Gomez, DDS
Title
Dentist / President
Phone
(312) 984-0032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019029129 IL Primary

Addresses

Primary practice location

30 N Michigan Ave
Suite 1821
Chicago, IL 60602-3402

Mailing address

30 N Michigan Ave
Suite 1821
Chicago, IL 60602-3402
Phone (312) 984-0032

Other names 1

  • Chicago Downtown Dental Suite Doing business as

National Provider Directory

National Provider Directory

Locations

30 N Michigan Ave
Ste 1821
Chicago, IL 60602
Phone (312) 419-0306

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1700222833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE 1821",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "312-984-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE 1821",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "312-984-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY JOYCE GOMEZ, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MARY JOYCE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DENTIST / PRESIDENT",
        "authorized_official_telephone_number": "312-984-0032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019029129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Downtown Dental Suite",
            "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 May 15, 2013; 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.