Organization Active NPI

Cushing Dental, P.C.

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1801298856
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019.027354 Issued in IL
Legal business name
CUSHING DENTAL, P.C.
Practice address
2859 N Halsted St
#1
Chicago, IL 60657-7009
Phone
(773) 248-8836
NPI assigned
Sep 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Jaime Cushing, D.D.S.
Title
President
Phone
(773) 248-8836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019.027354 IL Primary

Addresses

Primary practice location

2859 N Halsted St
#1
Chicago, IL 60657-7009

Mailing address

2859 N Halsted St
#1
Chicago, IL 60657-7009
Phone (773) 248-8836

National Provider Directory

National Provider Directory

Locations

2859 N Halsted St
Ste 1
Chicago, IL 60657
Phone (773) 248-8836

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": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1801298856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 N HALSTED ST",
            "address_2": "#1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577009",
            "telephone_number": "773-248-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 N HALSTED ST",
            "address_2": "#1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577009",
            "telephone_number": "773-248-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSHING DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "CUSHING",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-248-8836",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019.027354",
            "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 Sep 22, 2014; 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.