NPIMap

Organization Active NPI

Chicago Dental Institute

  • Dentist
  • Chicago, IL
National Provider Identifier
1750906392
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CHICAGO DENTAL INSTITUTE
Practice address
25 E Washington St Ste 510
Chicago, IL 60602-1732
Phone
(317) 258-3815
Fax
(312) 668-8580
NPI assigned
Jun 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Dr. Viren Patel, DMDNPI 1083983423
Title
President
Phone
(312) 361-8242

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

25 E Washington St Ste 510
Chicago, IL 60602-1732

Mailing address

25 E Washington St Ste 510
Chicago, IL 60602-1732
Phone (317) 258-3815

Other names 1

  • Dental Assistant Academy of Chicago Former legal business name

National Provider Directory

National Provider Directory

Locations

25 E Washington St
Ste 510
Chicago, IL 60602
Phone (224) 355-1118

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": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1750906392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 510",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021732",
            "telephone_number": "317-258-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 510",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021732",
            "telephone_number": "317-258-3815",
            "fax_number": "312-668-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO DENTAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-361-8242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Assistant Academy of Chicago",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 9, 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.