NPIMap

Organization Active NPI

Molar City, P.C.

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1730647744
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MOLAR CITY, P.C.
Practice address
4620 N Western Ave
Chicago, IL 60625
Phone
(708) 552-0275
NPI assigned
Mar 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Authorized official

Name
Dr. Kevin Garson NG, DDSNPI 1841546314
Title
President
Phone
(646) 387-8715

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 Primary

Addresses

Primary practice location

4620 N Western Ave
Chicago, IL 60625

Mailing address

2330 W Saint Paul Ave Apt 602
Chicago, IL 60647-5617
Phone (646) 387-8715

National Provider Directory

National Provider Directory

Locations

4620 N Western Ave
Chicago, IL 60625
Phone (708) 552-0275

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": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1730647744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 W SAINT PAUL AVE APT 602",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475617",
            "telephone_number": "646-387-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "708-552-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLAR CITY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "GARSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-387-8715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "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 Mar 15, 2019; 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.