Andrea N. Sidle DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ANDREA N. SIDLE DDS PC

Practice address

840 W Irving Park Rd Ste 407
Chicago, IL 60613-3011

Phone

(773) 248-8581

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Sidle, DDSNPI 1427383363

Title

DDS

Phone

(816) 215-2904

Specialties & licenses 1

Addresses

Other names 1

• Crown Jewel Dental Loft Doing business as

Locations

Practitioners 1

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

• Andrea Nichole Sidle, DDS

  • Dentist
  • Chicago, IL
  • NPI 1427383363
  NPD Authorized official

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1811501570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 W IRVING PARK RD STE 407",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133011",
            "telephone_number": "773-248-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W IRVING PARK RD STE 407",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133011",
            "telephone_number": "773-248-8581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 N Halsted St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606143625",
            "country_code": "US",
            "telephone_number": "773-935-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANDREA N. SIDLE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "SIDLE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "816-215-2904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Jewel Dental Loft",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared Andre, M.D.
• Andrea Gargano, LCPC Counseling and Therapeutic Services, P.C.
• Andrea Hohf, MSCD, LCSW
• Andrea Lieberman, Psy.D., LLC
• Andrea M. Bacon, M.D. LTD.
• Stanley Andreakis, RPH
• Michael A Andreano, D.C.
• Hannah Andreasen, MSED, BCBA
• Alyssa Andreasik, PT, DPT
• Ilina A. Andreeva, M.D.

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.