Organization Active NPI

University Associates in Dentistry, LTD.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1811985294
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UNIVERSITY ASSOCIATES IN DENTISTRY, LTD.
Practice address
680 N Lasalle St
Suite 230
Chicago, IL 60610-3723
Phone
(312) 704-5511
Fax
(312) 346-3991
NPI assigned
Oct 11, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Martin J. Marcus, DDS
Title
President
Phone
(312) 704-5511

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

NPPES NPI Registry

Primary practice location

680 N Lasalle St
Suite 230
Chicago, IL 60610-3723

Mailing address

680 N Lasalle St
Suite 230
Chicago, IL 60610-3723
Phone (312) 704-5511

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811985294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LASALLE ST",
            "address_2": "SUITE 230",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103723",
            "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": "680 N LASALLE ST",
            "address_2": "SUITE 230",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103723",
            "telephone_number": "312-704-5511",
            "fax_number": "312-346-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY ASSOCIATES IN DENTISTRY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-704-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "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 Aug 22, 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.