Organization Active NPI

General Dentists LTD

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1871009738
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019022116 Issued in IL
Legal business name
GENERAL DENTISTS LTD
Practice address
1718 S Ashland Ave
Chicago, IL 60608-2015
Phone
(312) 421-9500
Fax
(312) 421-1321
NPI assigned
Dec 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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

Authorized official

Name
Dr. Mohammad Hossein Ranjbari, DDSNPI 1851500078
Title
Owner
Phone
(312) 421-9500

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
Dental Clinic/Center 261QD0000X 019022116 IL Primary

Addresses

Primary practice location

1718 S Ashland Ave
Chicago, IL 60608-2015

Mailing address

1718 S Ashland Ave
Chicago, IL 60608-2015
Phone (312) 421-9500

Other identifiers 1

IdentifierTypeStateIssuer
1851500078MedicaidIL

National Provider Directory

National Provider Directory

Locations

1718 S Ashland Ave
Chicago, IL 60608
Phone (312) 421-9500

Practitioners & affiliated clinicians

Practitioners 1

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": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1871009738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082015",
            "telephone_number": "312-421-9500",
            "fax_number": "312-421-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082015",
            "telephone_number": "312-421-9500",
            "fax_number": "312-421-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL DENTISTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "RANJBARI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "HOSSEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-421-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019022116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851500078",
            "state": "IL"
        }
    ],
    "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 Dec 14, 2017; 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.