Archer Dental Specialist Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ARCHER DENTAL SPECIALIST INC

Practice address

5342 S Archer Ave
Chicago, IL 60632-4949

Phone

(773) 284-8540

Fax

(708) 570-7567

NPI assigned

Sep 4, 2007

Last updated

Sep 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dhiraj SharmaNPI 1679589931

Title

President

Phone

(773) 284-8540

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dhiraj Sharma, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1679589931
  NPD (past) Authorized official
• Thuan Nguyen, D.D.S.

  • Pediatric Dentistry
  • Chicago, IL
  • NPI 1851627731
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1861686719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324949",
            "telephone_number": "773-284-8540",
            "fax_number": "708-570-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5342 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324949",
            "telephone_number": "773-284-8540",
            "fax_number": "708-570-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHER DENTAL SPECIALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "DHIRAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-284-8540",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arch - C PLLC (ARCH Counseling Center)
• Arch Angel Services
• Arch Angel Services, LLC
• Arch Angels Services
• Emily L Arch, MD
• Archer Dentistry LLC
• Archer Family Dental LTD
• Archer Family Medical Group, LLC
• Archer Foot Clinic
• Archer Heights Healthcare LLC

• 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 Sep 4, 2007; 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.