Organization Active NPI

Teeth Matter on Kedzie P.C.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1902370489
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TEETH MATTER ON KEDZIE P.C.
Practice address
6235 S Kedzie Ave Ste 201
Chicago, IL 60629-3304
Phone
(773) 936-5786
Fax
(312) 896-5835
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Mohammed Salih, DDS
Title
Dentist
Phone
(773) 936-5786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6235 S Kedzie Ave Ste 201
Chicago, IL 60629-3304

Mailing address

6235 S Kedzie Ave Ste 201
Chicago, IL 60629-3304
Phone (773) 936-5786

National Provider Directory

National Provider Directory

Locations

6235 S Kedzie Ave
Ste 201
Chicago, IL 60629
Phone (773) 936-5786

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1902370489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6235 S KEDZIE AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293304",
            "telephone_number": "773-936-5786",
            "fax_number": "312-896-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6235 S KEDZIE AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293304",
            "telephone_number": "773-936-5786",
            "fax_number": "312-896-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEETH MATTER ON KEDZIE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "SALIH",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-936-5786",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 17, 2019; 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.