NPIMap

Organization Active NPI

Ashton Dental PC

Doing business as Dentistrie

  • Dentist
  • Chicago, IL
National Provider Identifier
1982473492
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ASHTON DENTAL PC
Doing business as
Dentistrie
Practice address
328 N Desplaines St
Chicago, IL 60661-1106
Phone
(312) 796-6209
NPI assigned
Dec 26, 2023
Last updated
Dec 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ASHTON DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Sohail S Shafi
Title
Manager
Phone
(630) 842-3705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

328 N Desplaines St
Chicago, IL 60661-1106

Mailing address

1730 Park St Ste 106
Naperville, IL 60563-2609
Phone (630) 596-5018

Other names 1

  • Dentistrie Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smile Town Dental11 organizations share this tax ID, including this one
Part of
Smile Town Dental

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

328 N Desplaines St
Chicago, IL 60661
Phone (312) 796-6209

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.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1982473492",
    "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": "630-596-5018",
            "fax_number": "630-596-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N DESPLAINES ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611106",
            "telephone_number": "312-796-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHTON DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHTON DENTAL PC",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-842-3705"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistrie",
            "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 Dec 26, 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.

Verify at the official NPI Registry.