Otto James Tor, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.014420 Issued in IL

Practice address

15614 S Harlem Ave
Suite a
Orland Park, IL 60462-4402

Phone

(708) 614-1111

NPI assigned

Jun 18, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Otto J. Tor, D.D.S., LTD.

  • General Practice Dentistry
  • Orland Park, IL
  • NPI 1962717314
  NPD (past) Authorized official
• Crystal Cove Family Dental PLLC

  • General Practice Dentistry
  • Orland Park, IL
  • NPI 1972392751
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1003077413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15614 S HARLEM AVE",
            "address_2": "SUITE A",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624402",
            "telephone_number": "708-614-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15614 S HARLEM AVE",
            "address_2": "SUITE A",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624402",
            "telephone_number": "708-614-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOR",
        "first_name": "OTTO",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.014420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maridy Tojos-Cruz
• Elizabeth Ellen Toland, OTD, OTR/L
• Aneatra Mianna Toliver, APRN, PMHNP
• Robert Tomchuck, D.O.
• Toothtown PLLC
• Carmelita R Torres, MD
• Total Renal Care Inc
• Kara Linn Totonchi, D.O.
• Tranquility Hospice and Palliative Care Inc
• Travel Health Partners Il PLLC

• General Practice Dentistry in Orland Park, IL
• Providers in Orland Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.