Dental Shine II, P, C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019026154 Issued in IL

Legal business name

DENTAL SHINE II, P, C.

Practice address

4719 S Kedzie Ave
Chicago, IL 60632-3001

Phone

(773) 847-4444

NPI assigned

Jan 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Firas Faleh El-Muqdad

Title

President

Phone

(773) 847-4444

Specialties & licenses 1

Addresses

Tax ID family

Dental Shine II PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dental Shine II P.C

  dba Apex Dental Care

  • General Practice Dentistry
  • Plainfield, IL
  • NPI 1568917508
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Dental Shine II P.C

  dba Apex Dental Care

  • General Practice Dentistry
  • Plainfield, IL
  • NPI 1568917508
  NPPES parent name

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1790923274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606323001",
            "telephone_number": "773-847-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606323001",
            "telephone_number": "773-847-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SHINE II, P, C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "EL-MUQDAD",
        "authorized_official_first_name": "FIRAS",
        "authorized_official_middle_name": "FALEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-847-4444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019026154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Starz LLC
• Dental Starz, LLC
• Dental Sunshine

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.