Millennium Dental Specialist

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

019025900 Issued in IL

Legal business name

MILLENNIUM DENTAL SPECIALIST

Practice address

1624 W Division St Ste B
Chicago, IL 60622-3908

Phone

(773) 227-9000

Fax

(773) 227-9009

NPI assigned

Jun 14, 2018

Last updated

Jun 14, 2018By 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

Christine M Gadia, DDS MSNPI 1366572802

Title

Owner/ Dentist

Phone

(312) 588-0112

Specialties & licenses 2

Addresses

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.

• Christine M Gadia, DDSMS

  • Periodontics
  • Chicago, IL
  • NPI 1366572802
  Authorized official Same address or phone

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1942793815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 W DIVISION ST STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223908",
            "telephone_number": "773-227-9000",
            "fax_number": "773-227-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 W DIVISION ST STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223908",
            "telephone_number": "773-227-9000",
            "fax_number": "773-227-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM DENTAL SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "GADIA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "312-588-0112",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "019026871",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "019025900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew K Milleman, MD
• Millenium Park Medical Center, SC
• Millenium Wellness Center, S.C.
• Millennium Behavior Health Services
• Millennium Behavior Health Services
• Millennium Medical Group, LLC (Millennium Wellness Group, LLC)
• Millennium Park Dermatology, S.C.
• Millennium Park Medical Associates, S.C.
• Millennium Park Psychological Associates, LLC
• Millennium Park Smiles, LLC

• Periodontics in Chicago, IL
• Providers in Chicago, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.