NPIMap

Organization Active NPI

Hyde Park Universal Dental LLC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1912248162
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HYDE PARK UNIVERSAL DENTAL LLC
Practice address
1634 E 53Rd St
Chicago, IL 60615-4384
Phone
(773) 966-6465
Fax
(773) 952-4683
NPI assigned
Mar 13, 2013
Last updated
Mar 13, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
RAMAHA DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Ahmed Ramaha, DDS
Title
Owner
Phone
(773) 966-6465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1634 E 53Rd St
Chicago, IL 60615-4384

Mailing address

1634 E 53Rd St
Chicago, IL 60615-4384
Phone (773) 966-6465

National Provider Directory

National Provider Directory
Tax ID family
Hyde Park Universal Dental LLC2 organizations share this tax ID, including this one
Part of
Ramaha Dental

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1912248162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 E 53RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154384",
            "telephone_number": "773-966-6465",
            "fax_number": "773-952-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 E 53RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154384",
            "telephone_number": "773-966-6465",
            "fax_number": "773-952-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK UNIVERSAL DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAMAHA DENTAL PC",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "RAMAHA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-966-6465",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-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 Mar 13, 2013; 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.