The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chicago and Illinois

1,148 active clinicians are listed under Dentist - General Practice with a practice address in Chicago, IL (5,281 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

0.1% of these 1,148 clinicians have the CMS telehealth indicator.

0% of these 1,148 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES IL 019.025751

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events

✅

NPI Profile Active February 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 03, 2017

Registered at 2632 WESTERN AVE, CHICAGO, IL 606222850 (Tel: 7732350981)

📍

Updated Business Mailing Address February 03, 2017

Registered at 176 EAST DELAWARE, CHICAGO, IL 606117718

👤

Provider Name / Credentials Updated February 03, 2017

Recorded as THUPTARA THUPVONG, D.M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2017

Dentist (license number reported to NPPES: IL 019.025751)

✅

NPI Profile Active June 23, 2008

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) June 23, 2008

Registered at 2632 W DIVISION ST, CHICAGO, IL 606222850 (Tel: 7732350980)

📍

Business Mailing Address (Initial Record) June 23, 2008

Registered at 426 SCARBOROUGH RD, VALPARAISO, IN 463857718 (Tel: 3120909079)

👤

Provider Name / Credentials (Initial Record) June 23, 2008

Recorded as THUPTARA THUPVONG, D.M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2008

Dentist (license number reported to NPPES: IL 019.025751)

🟢

Initial NPI Registration & Enumeration June 23, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215198122

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 23, 2008

Last Update: February 03, 2017

Sole Proprietor: Yes

Update or Correct Profile

Other Dentist - General Practices in Chicago

All Dentist - General Practices in Chicago

Mailing Address

176 East Delaware

Chicago, IL 606117718

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.