FTDC LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FTDC LTD

Practice address

2413 S State St
Chicago, IL 60616-2311

Phone

(312) 949-9000

NPI assigned

Jul 23, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Kadziela

Title

Dentist

Phone

(312) 949-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500768000000",
    "number": "1700309648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162311",
            "telephone_number": "312-949-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FTDC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-23",
        "last_updated": "2017-07-23",
        "status": "A",
        "authorized_official_last_name": "KADZIELA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "312-949-9000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019020204",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Frymire, LMT
• Brandon Fryza, MD
• FSH Medical, P.C.
• FSJN Enterprises, Inc
• Fslshk Inc
• Lucy Fu, MD
• Vanessa Min Fu, MD
• Yichun Fu
• Yiping Fu, M.D.
• Sarah Fuchs-Voit

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2017; 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.