NPIMap

Organization Active NPI

Family Care Dental Group, LTD.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1831490911
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019018642 Issued in IL
Legal business name
FAMILY CARE DENTAL GROUP, LTD.
Practice address
3143 W Devon Ave
Chicago, IL 60659-1424
Phone
(773) 465-2922
Fax
(773) 465-2998
NPI assigned
Nov 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Dr. Mark Mkrdichian, DDSNPI 1679641633
Title
Dentist/Owner
Phone
(773) 465-2922

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019018642 IL Primary

Addresses

Primary practice location

3143 W Devon Ave
Chicago, IL 60659-1424

Mailing address

3143 W Devon Ave
Chicago, IL 60659-1424
Phone (773) 465-2922

National Provider Directory

National Provider Directory

Locations

3143 W Devon Ave
Chicago, IL 60659
Phone (773) 465-2922

Practitioners & affiliated clinicians

Practitioners 4

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": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1831490911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591424",
            "telephone_number": "773-465-2922",
            "fax_number": "773-465-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591424",
            "telephone_number": "773-465-2922",
            "fax_number": "773-465-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE DENTAL GROUP, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "MKRDICHIAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "773-465-2922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018642",
            "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 Nov 5, 2010; 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.