Mario Serrano DDS & Sara Vafa DMD P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027920 Issued in IL

Legal business name

MARIO SERRANO DDS & SARA VAFA DMD P.C.

Doing business as

Morton Family Dental of Berwyn

Practice address

6931 Cermak Rd
Berwyn, IL 60402-2101

Phone

(708) 512-4688

NPI assigned

Jul 22, 2016

Last updated

Jul 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mario Serrano, DDS

Title

Dentist

Phone

(708) 512-4688

Specialties & licenses 3

Addresses

Other names 1

• Morton Family Dental of Berwyn Doing business as

Locations

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1033562251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6931 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6931 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022101",
            "telephone_number": "708-512-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO SERRANO DDS & SARA VAFA DMD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-512-4688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027920",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030562",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morton Family Dental of Berwyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amandev Mangat, DDS
• Crystal Manjarrez, LPC
• Hugh Marchmont-Robinson, D.D.S, S.C
• Nicole Ann Mariano
• Hector Marin
• Marius-Nunez Medical Group S C
• Andres Luis Marius-Nunez, M.D.
• Hanna Markewycz, MD
• Michael Achilles Markos, M.D.
• Melisa Marotta, PNP

• General Practice Dentistry in Berwyn, IL
• Providers in Berwyn, 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 Jul 22, 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.

Verify at the official NPI Registry.