Organization Active NPI

Sugar Fix

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1700920683
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019026328 Issued in IL
Legal business name
SUGAR FIX
Practice address
3346 N Paulina St
Chicago, IL 60657-1038
Phone
(773) 883-1818
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Jessica T EmeryNPI 1700920667
Title
Doctor Owner
Phone
(773) 883-1818

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019026328 IL Primary

Addresses

Primary practice location

3346 N Paulina St
Chicago, IL 60657-1038

Mailing address

3346 N Paulina St
Chicago, IL 60657-1038
Phone (773) 883-1818

National Provider Directory

National Provider Directory

Locations

3346 N Paulina St
Chicago, IL 60657
Phone (773) 883-1818

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": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1700920683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3346 N PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571038",
            "telephone_number": "773-883-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3346 N PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571038",
            "telephone_number": "773-883-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR FIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "773-883-1818"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026328",
            "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 3, 2008; 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.