NPIMap

Organization Active NPI

Essential Dental,P.C.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1992880140
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ESSENTIAL DENTAL,P.C.
Practice address
255 E 103Rd St
Chicago, IL 60628-2807
Phone
(773) 468-4554
Fax
(773) 468-4848
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Ophelia Kay Carlton, D.D.S.
Title
Dentist
Phone
(773) 468-4554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

255 E 103Rd St
Chicago, IL 60628-2807

Mailing address

255 E 103Rd St
Chicago, IL 60628-2807
Phone (773) 468-4554

National Provider Directory

National Provider Directory

Locations

255 E 103rd St
Chicago, IL 60628
Phone (773) 468-4554

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992880140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282807",
            "telephone_number": "773-468-4554",
            "fax_number": "773-468-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282807",
            "telephone_number": "773-468-4554",
            "fax_number": "773-468-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL DENTAL,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "OPHELIA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-468-4554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "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 Jul 21, 2022; 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.