Chicago Center for Advanced Dentistry

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

CHICAGO CENTER FOR ADVANCED DENTISTRY

Practice address

222 N Lasalle St 230B
Chicago, IL 60601

Phone

(312) 704-5511

Fax

(312) 346-3991

NPI assigned

Jan 16, 2020

Organization subpart

No

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

Authorized official

Name

Stuart Schelkopf, MD

Title

Dentist Partner

Phone

(312) 704-5511

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 1

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

• Russell A Baer, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Chicago, IL
  • NPI 1275698003
  NPD (past)

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1811527013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N LASALLE ST 230B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60601",
            "telephone_number": "312-704-5511",
            "fax_number": "312-346-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N LASALLE ST 230B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60601",
            "telephone_number": "312-704-5511",
            "fax_number": "312-346-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO CENTER FOR ADVANCED DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-12-03",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "SCHELKOPF",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "DENTIST   PARTNER",
        "authorized_official_telephone_number": "312-704-5511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "uad@uadchicago.com",
            "affiliation": "Y",
            "endpointDescription": "Main address",
            "affiliationName": "University Associates in Dentistry, Ltd.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "222 N LaSalle St 230B",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.