NPIMap

Organization Active NPI

University Dental Associates

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1740429968
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019021911 Issued in IL
Legal business name
UNIVERSITY DENTAL ASSOCIATES
Practice address
1 E Scott St
Chicago, IL 60610-2372
Phone
(312) 337-0004
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Dr. Rajan Sharma
Title
Owner
Phone
(312) 337-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 019021911 IL Primary

Addresses

Primary practice location

1 E Scott St
Chicago, IL 60610-2372

Mailing address

1 E Scott St
Chicago, IL 60610-2372
Phone (312) 337-0004

National Provider Directory

National Provider Directory
Tax ID family
University Dental Associates6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1 E Scott St
Chicago, IL 60610
Phone (312) 337-0004

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1740429968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E SCOTT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102372",
            "telephone_number": "312-337-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E SCOTT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102372",
            "telephone_number": "312-337-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-337-0004",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019021911",
            "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 Feb 11, 2009; 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.