Organization Active NPI

Oak Forest Family Dental

  • Dentist
  • Oak Forest, IL
National Provider Identifier
1811340326
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OAK FOREST FAMILY DENTAL
Practice address
15544 Cicero Ave
Oak Forest, IL 60452-3602
Phone
(708) 687-0100
Fax
(807) 687-9313
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Dr. Carly Rae Paragas, D.D.S.NPI 1326351636
Title
President/Dentist
Phone
(708) 687-0100

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

15544 Cicero Ave
Oak Forest, IL 60452-3602

Mailing address

15544 Cicero Ave
Oak Forest, IL 60452-3602
Phone (708) 687-0100

National Provider Directory

National Provider Directory

Locations

15544 Cicero Ave
Oak Forest, IL 60452
Phone (708) 518-3001

Practitioners & affiliated clinicians

Practitioners 2

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": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1811340326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15544 CICERO AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523602",
            "telephone_number": "708-687-0100",
            "fax_number": "807-687-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15544 CICERO AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523602",
            "telephone_number": "708-687-0100",
            "fax_number": "807-687-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK FOREST FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "PARAGAS",
        "authorized_official_first_name": "CARLY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "708-687-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.