Dho Great Lakes, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DHO GREAT LAKES, INC.

Doing business as

Dental Health Onsite

Practice address

528 W Barry Ave
Chicago, IL 60657-5417

Phone

(773) 929-8888

Fax

(773) 439-2300

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Philip C Murphy

Title

President

Phone

(773) 929-8888

Specialties & licenses 1

Addresses

Other names 1

• Dental Health Onsite Doing business as

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861570210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 W BARRY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575417",
            "telephone_number": "773-929-8888",
            "fax_number": "773-439-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 W BARRY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575417",
            "telephone_number": "773-929-8888",
            "fax_number": "773-439-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHO GREAT LAKES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-929-8888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Health Onsite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• 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.