NPIMap

Organization Active NPI

Dimario Dental Services

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1124287362
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024582 Issued in IL
Legal business name
DIMARIO DENTAL SERVICES
Practice address
2334 W Lawrence Ave
#208
Chicago, IL 60625-1948
Phone
(773) 271-6168
Fax
(773) 334-4537
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Dr. Veronica Lynn Dimario, D.D.S.NPI 1891799508
Title
Sole Proprietor
Phone
(773) 271-6168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019024582 IL Primary

Addresses

Primary practice location

2334 W Lawrence Ave
#208
Chicago, IL 60625-1948

Mailing address

PO Box 256779
Chicago, IL 60625-6779
Phone (773) 271-6168

National Provider Directory

National Provider Directory

Locations

2334 W Lawrence Ave
Ste 208
Chicago, IL 60625
Phone (773) 271-6168

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1124287362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256779",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256779",
            "telephone_number": "773-271-6168",
            "fax_number": "773-334-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 W LAWRENCE AVE",
            "address_2": "#208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251948",
            "telephone_number": "773-271-6168",
            "fax_number": "773-334-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMARIO DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "DIMARIO",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "773-271-6168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024582",
            "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 Oct 20, 2011; 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.