Individual provider Active NPI

Eva Bici, DMD

  • Dentist
  • Chicago, IL
National Provider Identifier
1982053252
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.030673 Issued in IL
Practice address
1254 N Wells St
Chicago, IL 60610-1981
Phone
(312) 337-3300
NPI assigned
Jun 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.030673 IL Primary

Addresses

Primary practice location

1254 N Wells St
Chicago, IL 60610-1981

Mailing address

1245 N Orleans St Apt 1003
Chicago, IL 60610-7549
Phone (312) 282-3381

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
019.030673ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Dental of Old Town Dentist Past Accepting new patients
Brighter Dental Past 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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1982053252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 N ORLEANS ST APT 1003",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107549",
            "telephone_number": "312-282-3381"
        },
        {
            "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": "BICI",
        "first_name": "EVA",
        "name_prefix": "Miss",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030673",
            "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 Jun 8, 2016; 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.