Oak Park Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OAK PARK DENTAL GROUP

Practice address

7034 W. North Ave.
Chicago, IL 60707

Phone

(773) 889-9100

Fax

(773) 889-9108

NPI assigned

Feb 9, 2012

Last updated

Feb 9, 2012By 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

Gerald L. Wine, D.D.S.

Title

Dentist

Phone

(773) 889-9100

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Ahmad Noweder, DMD

  • General Practice Dentistry
  • Vernon Hills, IL
  • NPI 1538519368
  NPD (past)
• Katelyn Marie White, DMD

  • Dentist
  • Hinsdale, IL
  • NPI 1407400633
  NPD (past)
• Isaac C Yue, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chicago, IL
  • NPI 1629296363
  NPD (past)

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1962774794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7034 W. NORTH AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60707",
            "telephone_number": "773-889-9100",
            "fax_number": "773-889-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7034 W. NORTH AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60707",
            "telephone_number": "773-889-9100",
            "fax_number": "773-889-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "WINE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-889-9100",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Brook Center for Health II
• Oak Brook Institute O Endoscopy SC
• Oak Home Healthcare Inc.
• Oak Lab Services Inc
• Oak Leaf Consulting Group, LLC
• Oak Street Health Physicians Group PC
• Oak Street Health Physicians Group, PC
• Oak Street Health: Edgewater
• Oak Street Physician Services LLC
• Oak Tree Developmental Center

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.