Individual provider Active NPI

Daniel Chay, DMD

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1922485317
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019032513 Issued in IL
Practice address
25 E Washington St Ste 2041
Chicago, IL 60602-1763
Phone
(312) 236-9322
NPI assigned
May 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS041192 PA
General Practice Dentistry 1223G0001X 019032513 IL Primary

Addresses

Primary practice location

25 E Washington St Ste 2041
Chicago, IL 60602-1763

Mailing address

25 E Washington St Ste 2041
Chicago, IL 60602-1763
Phone (312) 236-9322

Other practice location 1

3223 N Broad St
Philadelphia, PA 19140-5007
Phone (215) 707-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206002843 IL Practitioner - Dentist 8628508504 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS041192PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Beloved Community Family Wellness Center Current Accepting new patients
Beloved Community Family Wellness Center CurrentSince Dec 6, 2024 Accepting new patients
Phillip C. McDonnell, D.D.S., P.C. General Practice PastSince May 19, 2024 Accepting new patients

Locations

2338 New St
Blue Island, IL 60406
Phone (708) 577-5060

326 W 64th St
Ste 205
Chicago, IL 60621
Phone (773) 651-3629

6821 S Halsted St
Chicago, IL 60621
Phone (773) 651-3629

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: daniel.chay.p21@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1922485317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 2041",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021763",
            "telephone_number": "312-236-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 2041",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021763",
            "telephone_number": "312-236-9322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3223 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405007",
            "country_code": "US",
            "telephone_number": "215-707-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAY",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041192",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.