Richard B. Diverde, DDS, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019019078 Issued in IL

Legal business name

RICHARD B. DIVERDE, DDS, LTD

Practice address

30 N Michigan Ave
Ste. 1405
Chicago, IL 60602-3402

Phone

(312) 263-7822

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Richard B Diverde, D.D.S.

Title

Owner/General Dentist

Phone

(312) 263-7822

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Patrice Struziak, DMD

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1164083390
  NPD (past)

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1043767916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "STE. 1405",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "312-263-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "STE. 1405",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "312-263-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD B. DIVERDE, DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "DIVERDE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "312-263-7822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rae E Rich, LCSW
• Rebecca Rich, LCSW
• Stuart Rich, MD
• Richard & Susan Egwele MDSC
• Richard a. Levy, MD LTD.
• Richard CHI DDS, LTD.
• Richard Ezgur DC PC
• Richard H Telingator M.D. LTD.
• Richard I. Kaufman & Louis R Kaufman DDS
• Richard L Phelps MD SC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Sep 8, 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.