G B Vaidya DDS PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

G B VAIDYA DDS PC

Practice address

3900 W Madison St
Suite #12
Chicago, IL 60624

Phone

(773) 533-4323

Fax

(773) 533-0531

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Girish Bapalal Vaidya

Title

President

Phone

(773) 533-4323

Specialties & licenses 1

Addresses

Other names 1

• Girish B Vaidya Former legal business name

Practitioners 1

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

• Girishkumar Bapalal Vaidya, D.D.S.

  • Dentist
  • Chicago, IL
  • NPI 1912168030
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881717643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W MADISON ST",
            "address_2": "SUITE #12",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60624",
            "telephone_number": "773-533-4323",
            "fax_number": "773-533-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W MADISON ST",
            "address_2": "SUITE #12",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60624",
            "telephone_number": "773-533-4323",
            "fax_number": "773-533-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G B VAIDYA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAIDYA",
        "authorized_official_first_name": "GIRISH",
        "authorized_official_middle_name": "BAPALAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-533-4323"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Girish B Vaidya",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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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.