NPIMap

Organization Active NPI

Family Dental Care

  • Dentist
  • Chicago, IL
National Provider Identifier
1942573605
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19025081 Issued in IL
Legal business name
FAMILY DENTAL CARE
Practice address
10601 S Avenue E
Chicago, IL 60617-6316
Phone
(773) 978-5828
NPI assigned
Feb 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Spyro VallianatosNPI 1992914766
Title
Dentist
Phone
(773) 978-5828

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 MULTIPLE SINGLE SPECIALTY GROUP 122300000X 19025081 IL Primary

Addresses

Primary practice location

10601 S Avenue E
Chicago, IL 60617-6316

Mailing address

10601 S Avenue E
Chicago, IL 60617-6316
Phone (773) 978-5828

National Provider Directory

National Provider Directory
Tax ID family
Family Dental Care2 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

10601 S Avenue E
Chicago, IL 60617
Phone (773) 840-7000

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": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1942573605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 S AVENUE E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176316",
            "telephone_number": "773-978-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 S AVENUE E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176316",
            "telephone_number": "773-978-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "VALLIANATOS",
        "authorized_official_first_name": "SPYRO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-978-5828"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "19025081",
            "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 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.