NPIMap

Organization Active NPI

North Chicago Dental,LTD

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1780040410
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NORTH CHICAGO DENTAL,LTD
Practice address
2879 N Milwaukee Ave
Chicago, IL 60618-7422
Phone
(773) 227-0621
Fax
(773) 227-9281
NPI assigned
Jan 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Dr. Hieng ChhayNPI 1659542629
Title
Dentist
Phone
(773) 226-0621

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

2879 N Milwaukee Ave
Chicago, IL 60618-7422

Mailing address

2879 N Milwaukee Ave
Chicago, IL 60618-7422
Phone (773) 227-0621

National Provider Directory

National Provider Directory

Locations

2879 N Milwaukee Ave
Chicago, IL 60618
Phone (773) 227-0621

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": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1780040410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2879 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187422",
            "telephone_number": "773-227-0621",
            "fax_number": "773-227-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187422",
            "telephone_number": "773-227-0621",
            "fax_number": "773-227-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CHICAGO DENTAL,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "CHHAY",
        "authorized_official_first_name": "HIENG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-226-0621",
        "authorized_official_name_prefix": "Dr."
    },
    "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 Jan 11, 2016; 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.