Organization Active NPI

Ganger Family Dentistry

  • Dentist
  • Chicago, IL
National Provider Identifier
1962986950
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GANGER FAMILY DENTISTRY
Practice address
1858 W 35TH St
Chicago, IL 60609-1201
Phone
(614) 313-8831
NPI assigned
Sep 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Urvi Ganger, DDSNPI 1164950010
Title
Owner
Phone
(614) 313-8831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1858 W 35TH St
Chicago, IL 60609-1201

Mailing address

1858 W 35TH St
Chicago, IL 60609-1201
Phone (614) 313-8831

Other identifiers 1

IdentifierTypeStateIssuer
019031464OtherILLICENSE NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1962986950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1858 W 35TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091201",
            "telephone_number": "614-313-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 W 35TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091201",
            "telephone_number": "614-313-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANGER FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "GANGER",
        "authorized_official_first_name": "URVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-313-8831",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "019031464",
            "state": "IL"
        }
    ],
    "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 Sep 17, 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.