Active NPI
Park West Family Dentistry
Doing business as Harmony Family Dental
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1801190582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.027922
- Legal business name
- PARK WEST FAMILY DENTISTRY
- Doing business as
- Harmony Family Dental
- Practice address
- 830 W Diversey Pkwy
2ND Floor
Chicago, IL 60614-1454 - Phone
- (773) 880-6054
- NPI assigned
- Jan 10, 2011
- Last updated
- Jan 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fariha Siddiqui Imam, D.D.S.
- Title
- Dentist/Owner
- Phone
- (773) 880-6054
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.027922 | IL | Primary |
Addresses
Primary practice location
830 W Diversey Pkwy
2ND Floor
Chicago, IL 60614-1454
Mailing address
830 W Diversey Pkwy
2ND Floor
Chicago, IL 60614-1454
Phone (773) 880-6054
Other names 1
- Harmony Family Dental
National Provider Directory
National Provider Directory- Tax ID family
- Harmony Family Dental
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Chicago, IL
- NPI 1093102303
Locations
830 W Diversey Pkwy
Ste 2
Chicago, IL 60614
Phone (773) 281-3563
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Dentist
- Chicago, IL
- NPI 1093102303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325548800000",
"number": "1801190582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 W DIVERSEY PKWY",
"address_2": "2ND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141454",
"telephone_number": "773-880-6054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 W DIVERSEY PKWY",
"address_2": "2ND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141454",
"telephone_number": "773-880-6054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK WEST FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-10",
"last_updated": "2012-01-03",
"status": "A",
"authorized_official_last_name": "SIDDIQUI IMAM",
"authorized_official_first_name": "FARIHA",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "773-880-6054",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.027922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Harmony Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chicago, IL
- Park Medical & Surgical Plaza
- Park Ridge Orthopedic Surgeons,S.C.
- Park Smile Design
- Park View Medical Center Inc
- Park View Rehab Center LLC (Park View Rehab Center)
- Park West Family Dentistry, PC (Harmony Family Dental)
- Park West Family Physicians S C
- Alex Junwoo Park, MD
- Amanda Park, M.D.
- Asher Chulsoon Park
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.