UIC COLLEGE OF DENTISTRY
NPI 1992873921
Dentist in Chicago, IL
About Uic College Of Dentistry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UIC COLLEGE OF DENTISTRY (NPI 1992873921) is a healthcare organization registered as a dentist in Chicago, Illinois and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Chicago and lists David M Clark, Associate Dean For Patient Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Uic College Of Dentistry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2,107Medicare enrollment records show 2,107 clinicians reassign Medicare billing to Uic College Of Dentistry, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 1,202 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 71
Nearest to this location (20)
See all 2,107Chicago, IL 60612
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Board Of Trustees Of The University Of Illinois's NPI number?
The NPI number for Board Of Trustees Of The University Of Illinois is 1992873921. It was assigned to this organization in the NPPES registry on November 30, 2006. The provider is also known as Uic College Of Dentistry.
Where is Board Of Trustees Of The University Of Illinois located?
Board Of Trustees Of The University Of Illinois is located at 801 S Paulina St Mc 621, Chicago, IL 60612. The listed phone number is (312) 996-7555.
What is Board Of Trustees Of The University Of Illinois's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Board Of Trustees Of The University Of Illinois enrolled in Medicare?
Yes. Board Of Trustees Of The University Of Illinois is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Board Of Trustees Of The University Of Illinois?
According to the CMS Revalidation Reassignment List (October 2026 release), 2,107 clinicians in 71 Medicare specialties reassign their Medicare billing to Board Of Trustees Of The University Of Illinois. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (289), Pediatric Medicine (250) and Internal Medicine (153). Of these, 15 practice at this address and 1,202 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Board Of Trustees Of The University Of Illinois was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Uic College Of Dentistry · NPI 1992873921
Dentist organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since November 30, 2006.
## Identity
- **NPI:** 1992873921 (Entity type: Organization)
- **Enumerated:** November 30, 2006
- **Primary specialty:** Dentist · taxonomy 122300000X
- **Legal business name:** Board Of Trustees Of The University Of Illinois
- **Organization subpart:** Yes (part of Board Of Trustees Of The University Of Illinois)
- **Authorized official:** David Clark, ASSOCIATE DEAN FOR PATIENT SERVICES
## Practice location
- **Address:** 801 S PAULINA ST, MC 621, Chicago, IL 60612-7210
- **Phone:** (312) 996-7555 · **Fax:** (312) 355-3864
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2,107 clinicians in 71 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (289), Pediatric Medicine (250), Internal Medicine (153); 15 practice at this address and 1,202 within 10 miles; [full list](https://npiprofile.com/npi/1992873921/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1992873921) · Data from the CMS NPPES public registry.