Secure Dental VI

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SECURE DENTAL VI

Practice address

3540 N Ashland Ave
Chicago, IL 60657-1314

Phone

(309) 606-5008

NPI assigned

Dec 15, 2019

Organization subpart

No

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

Authorized official

Name

Nazish Hasan Jafri

Title

Dentist

Phone

(309) 681-8888

Specialties & licenses 1

Addresses

Other names 1

• Secure Dental Ashland Avenue Doing business as

Tax ID family

Secure Dental Ashland Avenue3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Secure Dental VI

  • Dentist
  • Moline, IL
  • NPI 1598231698
  NPD tax ID
• Secure Dental VI

  • Dental Clinic/Center
  • Schererville, IN
  • NPI 1932798352
  NPD tax ID

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

{
    "created_epoch": "1576368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576368000000",
    "number": "1811535404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 RIVERSIDE DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112068",
            "telephone_number": "309-681-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571314",
            "telephone_number": "309-606-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE DENTAL VI",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-15",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A",
        "authorized_official_last_name": "JAFRI",
        "authorized_official_first_name": "NAZISH",
        "authorized_official_middle_name": "HASAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "309-681-8888"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Secure Dental Ashland Avenue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Second Home Transportation LLC
• Second Story Consultants
• Stephanie Grace Secontine, REGISTERED DIETITIAN
• Katharine Secunda, M.D.
• Secure Dental LLC
• Secure Dental X PLLC
• Seda Inc
• Farshad Sedaghat-Yazdi, M.D.
• Angela Sedeno, PH.D.
• Christopher W. Seder, 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 Dec 15, 2019; 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.