Active NPI
Align Dental Group Chicago Corp
Doing business as Taylor Street Dental
- Dentist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- ALIGN DENTAL GROUP CHICAGO CORP
- Doing business as
- Taylor Street Dental
- Practice address
- 1259 W Taylor St
Chicago, IL 60607-4708 - Phone
- (312) 226-1537
- NPI assigned
- Apr 11, 2023
- Last updated
- Apr 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad Moein Azimi
- Title
- Owner
- Phone
- (630) 999-9637
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
1259 W Taylor St
Chicago, IL 60607-4708
Mailing address
1730 Park St Ste 106
Naperville, IL 60563-2609
Phone (312) 226-1537
Other names 1
- Taylor Street Dental
National Provider Directory
National Provider Directory- Tax ID family
- Align Dental Group Chicago Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1259 W Taylor St
Chicago, IL 60607
Phone (312) 226-1537
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
Practitioners & affiliated clinicians
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.
-
- Dentist
- Aurora, IL
- NPI 1811480635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681257600000",
"number": "1962197285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 PARK ST STE 106",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605632609",
"telephone_number": "312-226-1537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074708",
"telephone_number": "312-226-1537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALIGN DENTAL GROUP CHICAGO CORP",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A",
"authorized_official_last_name": "AZIMI",
"authorized_official_first_name": "MOHAMMAD MOEIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-999-9637"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Taylor Street Dental",
"code": "3",
"type": "Doing Business As"
}
]
}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 Apr 12, 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.