Wellness Dental Care

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WELLNESS DENTAL CARE

Practice address

4759 N Ashland Ave
Chicago, IL 60640-3406

Phone

(773) 808-7744

NPI assigned

Jun 7, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jongnok Jennifer Lee, DDSNPI 1124467436

Title

President

Phone

(773) 808-7744

Specialties & licenses 1

Addresses

Other names 1

• Jong Nok Inc Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jongnok Jennifer Lee

  • Dentist
  • Chicago, IL
  • NPI 1124467436
  NPD Authorized official

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1801463187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4759 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403406",
            "telephone_number": "773-808-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4759 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403406",
            "telephone_number": "773-808-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2022-06-09",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONGNOK",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-808-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jong Nok Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jong Nok Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Wellness by Physiatry, PLLC
• Wellness Center for Counseling and Guidance
• Wellness Chicago
• Wellness Collective Chicago, LLC
• Wellness Continuum LLC
• Wellness Home Care, Inc.
• Wellness Med Trans Inc.
• Wellness Path Therapy Center
• Wellness Revolution Lakeview LLC
• Wellness Surgical Corp

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.