Northwestern Denture Clinic LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19025360 Issued in IL

Legal business name

NORTHWESTERN DENTURE CLINIC LLC

Doing business as

crossroads of american dental

Practice address

1721 Sibley Blvd
Calumet City, IL 60409-2240

Phone

(708) 868-1771

NPI assigned

Feb 10, 2012

Last updated

Feb 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Inchun Yang, D.D.SNPI 1366589871

Title

Owner

Phone

(708) 868-1771

Specialties & licenses 1

Addresses

Other names 1

• crossroads of american dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Inchun Yang, D.D.S.

  • General Practice Dentistry
  • Calumet City, IL
  • NPI 1366589871
  Authorized official Same address or phone

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1932472743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 SIBLEY BLVD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092240",
            "telephone_number": "708-868-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 SIBLEY BLVD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092240",
            "telephone_number": "708-868-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN DENTURE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "INCHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-868-1771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19025360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "crossroads of american dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New Choice Intervention, Inc.
• Cynthia Newman
• Nirav P Chudgar MDSC
• Omar Niwash, PHARMD
• Denita Nixon, PT
• Nurturing Individuals Needing Assistance (NINA Foundation)
• Oakmerit Healthcare SC
• Diane Oceguera
• Ian Joseph Offord
• Oludele David Olagoke

• General Practice Dentistry in Calumet City, IL
• Providers in Calumet City, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.