Organization Active NPI

Gilbert J Lafemina DDS LTD

  • Dental Clinic/Center
  • Riverside, IL
National Provider Identifier
1003112632
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019015136 Issued in IL
Legal business name
GILBERT J LAFEMINA DDS LTD
Practice address
345 E Burlington St
Riverside, IL 60546-2188
Phone
(708) 447-6670
Fax
(708) 447-6673
NPI assigned
Jan 29, 2011
Last updated
Dec 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Dr. Gilbert J LafeminaNPI 1457479065
Title
President
Phone
(708) 447-6670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019015136 IL Primary

Addresses

Primary practice location

345 E Burlington St
Riverside, IL 60546-2188

Mailing address

345 E Burlington St Ste B1
Riverside, IL 60546-2084
Phone (708) 447-6670

Other identifiers 1

IdentifierTypeStateIssuer
6489850001OtherILPTAN

National Provider Directory

National Provider Directory

Locations

345 E Burlington St
Riverside, IL 60546
Phone (708) 447-6670

345 E Burlington St
Ste B1
Riverside, IL 60546
Phone (708) 447-6670

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1003112632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E BURLINGTON ST STE B1",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462084",
            "telephone_number": "708-447-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E BURLINGTON ST",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462188",
            "telephone_number": "708-447-6670",
            "fax_number": "708-447-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT J LAFEMINA DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-29",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "LAFEMINA",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-447-6670",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019015136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6489850001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.