NPIMap

Organization Active NPI

Enamel Dental

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1801332580
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019028986 Issued in IL
Legal business name
ENAMEL DENTAL
Practice address
1061 W Jackson Blvd
Suite C
Chicago, IL 60607-3039
Phone
(312) 586-6200
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Dr. David ChoiNPI 1518228667
Title
President
Phone
(312) 586-6200

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 019028986 IL Primary

Addresses

Primary practice location

1061 W Jackson Blvd
Suite C
Chicago, IL 60607-3039

Mailing address

1061 W Jackson Blvd
Suite C
Chicago, IL 60607-3039

National Provider Directory

National Provider Directory

Locations

1061 W Jackson Blvd
Ste C
Chicago, IL 60607
Phone (312) 586-6200

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": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1801332580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 W JACKSON BLVD",
            "address_2": "SUITE C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 W JACKSON BLVD",
            "address_2": "SUITE C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073039",
            "telephone_number": "312-586-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENAMEL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-586-6200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019028986",
            "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 18, 2017; 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.