Northwest Dental Associates, LTD

Primary specialty

DentistTaxonomy code 122300000X

License

19A-15268 Issued in IL

Legal business name

NORTHWEST DENTAL ASSOCIATES, LTD

Practice address

414 N Hough St
Barrington, IL 60010-3029

Phone

(847) 382-1600

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul M. Chung, D.D.S.NPI 1922196492

Title

President

Phone

(847) 382-1600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul M Chung, D.D.S.

  • Dentist
  • Barrington, IL
  • NPI 1922196492
  NPD (past) Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770651663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N HOUGH ST",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103029",
            "telephone_number": "847-382-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N HOUGH ST",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103029",
            "telephone_number": "847-382-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DENTAL ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-382-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "19A-15268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Norbeck Jr., M.D.
• Laura L Nordgren, AGPCNP-BC
• North Star Counseling Center
• Northland Hearing Centers, Inc.
• Northwest Cardiology Associates SC
• Northwest Eye Center
• Northwest Oncology & Hematology, S.C.
• Northwest Primary Healthcare, S.C.
• Novas, Dohr & Coll OB GYN Associates,S.C.
• Jeanne B Novas, MD

• All providers in Barrington, IL
• Dentist in Illinois

• 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.