1St Family Dental of Lincoln
Organization Active NPI Dentist · Chicago, IL
NPI 1740464874 · NPPES record last updated Dec 26, 2007
Key facts
- NPI
- 1740464874
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- 1ST FAMILY DENTAL OF LINCOLN
- Practice address
- 5206 N Lincoln Ave
Chicago, IL 60625-2406 - Phone
- (773) 728-5333
- Fax
- (773) 739-4300
- NPI assigned
- Dec 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Vesna Belkic
- Title
- General Manager
- Phone
- (773) 728-5333
Practitioners 5
-
Christin Ahmad, DDS
-
Ahmad Al Najjar, DMD
-
Basin Said Shakir, DDS PHD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
5206 N Lincoln Ave
Chicago, IL 60625-2406
Mailing address
5206 N Lincoln Ave
Chicago, IL 60625-2406
Phone (773) 561-5106
NPI Registry JSON
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198627200000",
"number": "1740464874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5206 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252406",
"telephone_number": "773-561-5106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5206 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252406",
"telephone_number": "773-728-5333",
"fax_number": "773-739-4300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1ST FAMILY DENTAL OF LINCOLN",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-26",
"last_updated": "2007-12-26",
"status": "A",
"authorized_official_last_name": "BELKIC",
"authorized_official_first_name": "VESNA",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "773-728-5333"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"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. Record last updated by the provider on Dec 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.