Individual provider Active NPI

Layal Dairi

  • Dentist
  • Chicago, IL
National Provider Identifier
1952034316
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019033690 Issued in IL
Practice address
1254 N Wells St
Chicago, IL 60610-1981
Phone
(312) 337-3300
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019033690 IL
Dentist 122300000X 019033690 IL Primary

Addresses

Primary practice location

1254 N Wells St
Chicago, IL 60610-1981

Mailing address

1211 S Prairie Ave Apt 2003
Chicago, IL 60605-3653
Phone (847) 609-5159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019033690ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Dental PastSince Jul 10, 2022 Accepting new patients
Brighter Dental of Old Town Dentist PastSince Jul 10, 2022 Accepting new patients

Organizations & group practices 2

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1952034316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S PRAIRIE AVE APT 2003",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053653",
            "telephone_number": "847-609-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 N WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101981",
            "telephone_number": "312-337-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIRI",
        "first_name": "LAYAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019033690",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019033690",
            "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 Jan 9, 2023; 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.