University of Illinois at Chicago College of Dentistry

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

019.029769 Issued in IL

Legal business name

UNIVERSITY OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY

Practice address

801 S Paulina St
465B
Chicago, IL 60612-7210

Phone

(312) 355-4819

NPI assigned

Jun 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Savaldor Nares, DDS, MS, PHD

Title

Chairman, Dept. of Periodontology

Phone

(312) 413-4467

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Dwayne Karateew, D.D.S.

  • Dentist
  • Milwaukee, WI
  • NPI 1649641507

  Periodontics

  NPD (past)

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1952781916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S PRAIRIE AVE",
            "address_2": "4901",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053325",
            "telephone_number": "312-522-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S PAULINA ST",
            "address_2": "465B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127210",
            "telephone_number": "312-355-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "NARES",
        "authorized_official_first_name": "SAVALDOR",
        "authorized_official_title_or_position": "CHAIRMAN, DEPT. OF PERIODONTOLOGY",
        "authorized_official_telephone_number": "312-413-4467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS,  PHD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "019.029769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Illinois at Chicago
• University of Illinois at Chicago
• University of Illinois at Chicago
• University of Illinois at Chicago
• University of Illinois at Chicago
• University of Illinois at Chicago Medical Center
• University of Illinois at Chicago Medical Center
• University of Illinois at Chicago Medical Center
• University of Illinois at Chicago, Dept of Prosthodonitcs
• University of Illinois Chicago

• 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 4, 2015; 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.