Dr. Louis L. Greenberg LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-014090 Issued in IL

Legal business name

DR. LOUIS L. GREENBERG LTD.

Practice address

7114 N Western Ave
Chicago, IL 60645-3418

Phone

(773) 465-1810

Fax

(773) 465-1194

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Baer Kirshenbaum, D.D.S.

Title

President

Phone

(773) 465-1810

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1912079690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453418",
            "telephone_number": "773-465-1810",
            "fax_number": "773-465-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453418",
            "telephone_number": "773-465-1810",
            "fax_number": "773-465-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LOUIS L. GREENBERG LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "KIRSHENBAUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BAER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-465-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-014090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.