NPIMap

Organization Active NPI

Bic Nguyen D.D.S. P.C.

  • Dentist
  • Chicago, IL
National Provider Identifier
1922406446
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
319016613 Issued in IL
Legal business name
BIC NGUYEN D.D.S. P.C.
Practice address
2516 W Peterson Ave
Chicago, IL 60659-4109
Phone
(773) 743-4050
NPI assigned
Dec 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Dr. Ngoc-Bich NguyenNPI 1841447455
Title
President
Phone
(773) 743-4050

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 319016613 IL Primary

Addresses

Primary practice location

2516 W Peterson Ave
Chicago, IL 60659-4109

Mailing address

2516 W Peterson Ave
Chicago, IL 60659-4109

Other names 1

  • Peterson Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bic Nguyen DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2516 W Peterson Ave
Chicago, IL 60659
Phone (773) 743-4050

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1922406446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594109",
            "telephone_number": "773-743-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIC NGUYEN D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NGOC-BICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-743-4050",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "319016613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peterson Dental",
            "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 Dec 16, 2014; 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.