Active NPI
Flavia Lamberghini, DDS, MPH, MS
- Pediatric Dentistry
- Chicago, IL
National Provider Identifier
1023167194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 019025965
- Practice address
- 3012 W Fullerton Ave
Unit 3
Chicago, IL 60647-2808 - Phone
- (312) 622-6511
- Fax
- (773) 384-3963
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 019025965 | IL | Primary |
Addresses
Primary practice location
3012 W Fullerton Ave
Unit 3
Chicago, IL 60647-2808
Mailing address
3012 W Fullerton Ave
Unit 3
Chicago, IL 60647-2808
Phone (312) 622-6511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019025965 | Medicaid | IL | |
| 1004927 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019025965 | IL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Esthetics | Past | Accepting new patients | |
| Star Smiles Orthodontics and Pediatric Dentistry | Past | Accepting new patients | |
| Flavia Lamberghini PC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Chicago, IL
- NPI 1013347160
-
- Dental Clinic/Center
- Chicago, IL
- NPI 1700241312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1023167194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 W FULLERTON AVE",
"address_2": "UNIT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472808",
"telephone_number": "312-622-6511",
"fax_number": "773-384-3963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 W FULLERTON AVE",
"address_2": "UNIT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472808",
"telephone_number": "312-622-6511",
"fax_number": "773-384-3963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBERGHINI",
"first_name": "FLAVIA",
"name_prefix": "Dr.",
"credential": "DDS, MPH, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IL",
"license": "019025965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019025965",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1004927",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.