Organization Active NPI

Reymar Dental Clinic

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1710019245
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
REYMAR DENTAL CLINIC
Practice address
6202 S Halsted St
Chicago, IL 60621-2029
Phone
(773) 651-4646
Fax
(773) 874-4362
NPI assigned
Mar 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marina Malinkovich, D.M.D.
Title
President
Phone
(773) 651-4646

Specialties & licenses 1

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

Addresses

Primary practice location

6202 S Halsted St
Chicago, IL 60621-2029

Mailing address

6202 S Halsted St
Chicago, IL 60621-2029
Phone (773) 651-4646

National Provider Directory

National Provider Directory
Tax ID family
Reymar Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6202 S Halsted St
Chicago, IL 60621
Phone (773) 651-4646

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710019245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212029",
            "telephone_number": "773-651-4646",
            "fax_number": "773-874-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212029",
            "telephone_number": "773-651-4646",
            "fax_number": "773-874-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYMAR DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALINKOVICH",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-651-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "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 Aug 22, 2020; 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.