Family Dental of Park Ridge PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FAMILY DENTAL OF PARK RIDGE PLLC

Practice address

5399 N Milwaukee Ave
Chicago, IL 60630-1251

Phone

(773) 763-1000

NPI assigned

Aug 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Nidal Obeid, DDSNPI 1841518651

Title

President

Phone

(773) 679-2421

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nidal Amin Obeid

  • Dentist
  • Arlington Heights, IL
  • NPI 1841518651
  NPD Authorized official
• Shoshana Nina Kott, DDS

  • Dentist
  • Chicago, IL
  • NPI 1912757667
  NPD (past)
• Gordon J Ziols, DDS PC

  • Dentist
  • Chicago, IL
  • NPI 1750458717
  NPD (past)

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1881424034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 CENTRAL RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254129",
            "telephone_number": "773-679-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5399 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301251",
            "telephone_number": "773-763-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL OF PARK RIDGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "OBEID",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-679-2421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Dental Care
• Family Dental Care of Chicago PC
• Family Dental Care of the East Side
• Family Dental Clinic, PC
• Family Dental Group, Inc.
• Family Dental of Roscoe Inc
• Family Doc S.C.
• Family Doc, Inc.
• Family Doctor Medical Center
• Family Doctors-Family Health Care, S.C.

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.