DR. CHARLES RICHARD NEACH (NPI# 1629453378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629453378 |
| Entity Type | Individual |
| Full Name | DR. CHARLES RICHARD NEACH |
| Credential | DDS |
| Practice Address |
801 S Paulina St Rm 302a Chicago IL 60612-7210 |
| Practice Telephone | 3129967514 |
| Practice Fax Number | 3129963375 |
| Mailing Telephone | 3129967514 |
| Mailing Fax Number | 3129963375 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
019.014642 | IL | Dental Providers |
| Street Address |
801 S PAULINA ST RM 302A |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-7210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942793815 | Millennium Dental Specialist | Dentist | 1624 W Division St Ste B, Chicago, IL 60622-3908 | 2018-06-14 |
| 1962841601 | Vikash Suresh Huliyar | Dentist | 111 N Wabash Ave Ste 1517, Chicago, IL 60602 | 2013-06-16 |
| 1245678473 | Advanced Endodontics of Chicago | Dentist | 111 N Wabash Ave Ste 812, Chicago, IL 60602-1912 | 2013-06-10 |
| 1780020461 | Kimberly Smiles | Dentist | 1835 N Milwaukee Ave, Cw, Chicago, IL 60647-6186 | 2013-05-21 |
| 1619237088 | David Gilbert Oser | Dentist | 901 W Madison St Unit 619, Chicago, IL 60607-3372 | 2012-05-20 |
| 1922331370 | Susan Rutherford Torma | Dentist | 1642 W. Belmont Ave, Chicago, IL 60657 | 2009-09-16 |
| 1477723302 | Clarence Towns Jr. | Dentist | 8741 South Greenwood Ave, Suite 107, Chicago, IL 60619 | 2008-03-06 |
| 1508035619 | Innovative Endodontics, P.C. | Dentist | 4346 N Pulaski Rd # Ab, Chicago, IL 60641-2156 | 2008-02-22 |
| 1881813970 | Priscilla Yeung | Dentist | 1725 W North Ave, Suite 102, Chicago, IL 60622-2188 | 2007-04-25 |
| 1538294087 | Jan Nowak | Dentist | 6143 N Northwest Hwy, Chicago, IL 60631-2127 | 2007-02-23 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.