Organization Active NPI

Winterset Dental Care

  • Dentist
  • Chicago, IL
National Provider Identifier
1811052061
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WINTERSET DENTAL CARE
Practice address
8559 S Pulaski Rd
Chicago, IL 60652-3643
Phone
(773) 582-0035
Fax
(773) 582-9869
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Anil K Agarwal, DDS
Title
Prosthodontist
Phone
(773) 582-0035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X IL Primary

Addresses

Primary practice location

8559 S Pulaski Rd
Chicago, IL 60652-3643

Mailing address

8559 S Pulaski Rd
Chicago, IL 60652-3643
Phone (773) 582-0035

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1811052061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8559 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523643",
            "telephone_number": "773-582-0035",
            "fax_number": "773-582-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8559 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523643",
            "telephone_number": "773-582-0035",
            "fax_number": "773-582-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTERSET DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROSTHODONTIST",
        "authorized_official_telephone_number": "773-582-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "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 Nov 16, 2007; 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.