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Active NPI 1386296259 Individual Practitioner Female Practitioner

Dr. Raven-Deneice Grant Carouthers , DDS

Dentist - General Practice • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Raven-Deneice Carouthers, DDS is a registered healthcare professional specializing in Dentist - General Practice in Chicago, IL. Practice services are available at 820 S DAMEN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

820 S Damen Ave

Chicago, IL 606123728

Telephone 7135740787
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 35602

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IL 019.032541

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Na
NA (IL)

Secondary Practice Locations

2112 Aldine Meadows Rd

Houston, TX 770323102

Phone: 7137730803

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nisha Mehta

Pharmacist

NPI 1003047630
Dr. Michael Fung , PhD

Psychologist - Clinical

NPI 1003276957

Doctor of Philosophy (Ph.D.)

Roberta Thompson , MSW

Social Worker - Clinical

NPI 1003913054

Master of Social Work

Dolores Boy

Dietitian, Registered

NPI 1003916271
Joline Labedis , LCSW

Social Worker - Clinical

NPI 1013029529

Licensed Clinical Social Worker

Ardita Tali

Nuclear Medicine

NPI 1013080241

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2025

Dentist (License #019.032541 in IL)

📍
Updated Business Mailing Address December 06, 2023

Registered at 122 S MICHIGAN AVE STE 1390, CHICAGO, IL 606036036 (Tel: 7135740787)

📍
Updated Business Mailing Address June 28, 2023

Registered at 1515 S PRAIRIE AVE UNIT 715, CHICAGO, IL 606053022 (Tel: 7135740787)

👤
Provider Name / Credentials Updated June 28, 2023

Recorded as RAVEN-DENEICE CAROUTHERS, DDS

NPI Profile Active July 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2019

Registered at 820 S DAMEN AVE, CHICAGO, IL 606123728 (Tel: 7135740787)

📍
Updated Business Mailing Address July 11, 2019

Registered at 900 S CLARK ST APT 2209, CHICAGO, IL 606053708 (Tel: 7135740787)

👤
Provider Name / Credentials Updated July 11, 2019

Recorded as RAVEN-DENEICE GRANT, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386296259
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2019
Last Update: January 09, 2025
Sole Proprietor: Yes

Mailing Address

122 S Michigan Ave Ste 1390

Chicago, IL 606036036

Phone: 7135740787

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.