NPIMap

Organization Active NPI

Richard N Facko, D.D.S., P.C.

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1114298155
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019.028264 Issued in IL
Legal business name
RICHARD N FACKO, D.D.S., P.C.
Practice address
811 S Lytle St
Unit 217
Chicago, IL 60607-4164
Phone
(708) 280-9234
NPI assigned
Jan 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Dr. Richard Norman Facko, DDS
Title
President
Phone
(708) 280-9234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019.028264 IL Primary

Addresses

Primary practice location

811 S Lytle St
Unit 217
Chicago, IL 60607-4164

Mailing address

811 S Lytle St
Unit 217
Chicago, IL 60607-4164
Phone (708) 280-9234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1114298155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S LYTLE ST",
            "address_2": "UNIT 217",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074164",
            "telephone_number": "708-280-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S LYTLE ST",
            "address_2": "UNIT 217",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074164",
            "telephone_number": "708-280-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD N FACKO, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "FACKO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-280-9234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019.028264",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 23, 2012; 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.