Organization Active NPI

Richard CHI DDS, LTD.

Doing business as Chicago Ave Smiles

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1881909927
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.027335 Issued in IL
Legal business name
RICHARD CHI DDS, LTD.
Doing business as
Chicago Ave Smiles
Practice address
1727 W Chicago Ave
Chicago, IL 60622-5009
Phone
(773) 517-2647
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Dr. Richard CHI, DDSNPI 1447453410
Title
President
Phone
(773) 517-2647

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019.027335 IL Primary

Addresses

Primary practice location

1727 W Chicago Ave
Chicago, IL 60622-5009

Mailing address

1335 S Prairie Ave Unit 1708
Chicago, IL 60605-3141

Other names 1

  • CHICAGO AVE SMILES Doing business as

National Provider Directory

National Provider Directory

Locations

1727 W Chicago Ave
Chicago, IL 60622
Phone (773) 517-2647

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1881909927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 S PRAIRIE AVE UNIT 1708",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225009",
            "telephone_number": "773-517-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD CHI DDS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-517-2647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHICAGO AVE SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 12, 2010; 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.