NPIMap

Organization Active NPI

North Ave. Dental Partners P.C.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1942653324
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019017117 Issued in IL
Legal business name
NORTH AVE. DENTAL PARTNERS P.C.
Practice address
7020 W North Ave
Chicago, IL 60707-4306
Phone
(773) 745-8300
Fax
(773) 745-8385
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Dr. Vesna S Sutter, DDSNPI 1538235098
Title
President/Dentist
Phone
(224) 517-3474

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019017117 IL Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019029595 IL

Addresses

Primary practice location

7020 W North Ave
Chicago, IL 60707-4306

Mailing address

26 Wychwood LN
South Barrington, IL 60010-6122
Phone (224) 517-3474

Other identifiers 1

IdentifierTypeStateIssuer
1477744043OtherILINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

7020 W North Ave
Chicago, IL 60707
Phone (773) 745-5555

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": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1942653324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WYCHWOOD LN",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600106122",
            "telephone_number": "224-517-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607074306",
            "telephone_number": "773-745-8300",
            "fax_number": "773-745-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH AVE. DENTAL PARTNERS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "VESNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "224-517-3474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017117",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1477744043",
            "state": "IL"
        }
    ],
    "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 4, 2019; 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.