Pulp&Dentin

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PULP&DENTIN

Practice address

1945 W. Wilson Ave.
Ste 5117
Chicago, IL 60640

Phone

(773) 588-7840

NPI assigned

Dec 27, 2023

Organization subpart

No

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

Authorized official

Name

Irene Renieris, DDSNPI 1912995358

Title

Owner

Phone

(773) 588-7840

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.

• Irene Renieris

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1912995358
  NPD Authorized official

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1144099441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 W. WILSON AVE.",
            "address_2": "STE 5117",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "773-588-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 W. WILSON AVE.",
            "address_2": "STE 5117",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "773-588-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULP&DENTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "RENIERIS",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-588-7840",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pulling Down the Moon
• Raqueal Pullums
• Shilpa Pulluru
• Pulmonary Providers Group, Inc.
• Rosemary Puloka, LCPC
• Richard Frederick Puls
• Pulse Care 360 LLC
• Pulse Pharmacy
• Pulsemint Medical Supplies LLC
• Michael Andrew Pulte, APRN

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.