Individual provider Active NPI

Salvatore Andrew Storniolo, DDS

  • General Practice Dentistry
  • Norridge, IL
National Provider Identifier
1114130416
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
8524 W Lawrence Ave
Norridge, IL 60706-2956
Phone
(708) 456-0800
Fax
(708) 456-8889
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IL Primary

Addresses

Primary practice location

8524 W Lawrence Ave
Norridge, IL 60706-2956

Mailing address

214 S Meier Road
Arlington Heights, IL 60005-3243
Phone (847) 437-0509

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150609001990 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608197173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019020586ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tripledoc Corp General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114130416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S MEIER ROAD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053243",
            "telephone_number": "847-437-0509",
            "fax_number": "847-437-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8524 W LAWRENCE AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607062956",
            "telephone_number": "708-456-0800",
            "fax_number": "708-456-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORNIOLO",
        "first_name": "SALVATORE",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norridge, IL

Sources for this page

Verify at the official NPI Registry.