SECURE DENTAL VI (NPI# 1811535404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811535404 |
| Entity Type | Organization |
| Organization Name | SECURE DENTAL VI |
| Practice Address |
3540 N Ashland Ave Chicago IL 60657-1314 |
| Mailing Address |
502 Riverside Dr East Peoria IL 61611-2068 |
| Practice Telephone | 3096065008 |
| Mailing Telephone | 3096818888 |
| Enumeration Date | 2019-12-15 |
| Last Update Date | 2019-12-15 |
| Authorized Official Name | NAZISH HASAN JAFRI (DENTIST) |
| Authorized Official Telephone | 3096818888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Secure Dental Ashland Avenue | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| Street Address |
3540 N ASHLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629514 | Chicago Pediatric Dentistry and Orthodontics | Clinic/Center | 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 | 2020-11-03 |
| 1245858695 | Versiani Dental PC | Clinic/Center | 2340 N California Ave, Chicago, IL 60647-6622 | 2020-07-13 |
| 1710513478 | Ethicadent | Clinic/Center | 6418 W Belmont Ave Ste 101, Chicago, IL 60634-4099 | 2020-03-13 |
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1750912671 | Wicker Park Dental Studio | Clinic/Center | 1282 N Milwaukee Ave, Chicago, IL 60622-9319 | 2020-01-29 |
| 1154972768 | David K Mayes D.d.s L.t.d. | Clinic/Center | 9101 S Western Ave # 2ndfl, Chicago, IL 60643-6751 | 2019-09-25 |
| 1235787730 | Alta Dental LLC | Clinic/Center | 5892 S Archer Ave, Chicago, IL 60638-1658 | 2019-08-28 |
| 1982257218 | Allure Dental Lincoln Park | Clinic/Center | 558 W Diversey Pkwy, Chicago, IL 60614-1678 | 2019-07-16 |
| 1568026656 | Cjn Loop Dental Ltd | Clinic/Center | 30 N Michigan Ave Ste 622, Chicago, IL 60602-3821 | 2019-04-24 |
| 1417410127 | Archer Dentistry LLC | Clinic/Center | 3924 S Archer Ave Unit De, Chicago, IL 60632-1116 | 2019-04-09 |
| 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.