Active NPI
Tyler Grace, DDS
- Dentist
- Chicago, IL
National Provider Identifier
1831993047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.036206
- Practice address
- 913 W Wellington Ave
Chicago, IL 60657-6709 - Phone
- (773) 871-2188
- NPI assigned
- Apr 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 019.036206 | IL | Primary |
Addresses
Primary practice location
913 W Wellington Ave
Chicago, IL 60657-6709
Mailing address
913 W Wellington Ave
Chicago, IL 60657-6709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.036206 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1831993047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 W WELLINGTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 W WELLINGTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576709",
"telephone_number": "773-871-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "TYLER",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-04",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.036206",
"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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.