Active NPI
Jazmin A. Devitt, D.D.S
- General Practice Dentistry
- Des Plaines, IL
National Provider Identifier
1144340910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019-022952
- Practice address
- 1300 Jefferson St
Suite 302
Des Plaines, IL 60016-7119 - Phone
- (847) 635-1100
- Fax
- (847) 635-1162
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019-022952 | IL | Primary |
Addresses
Primary practice location
1300 Jefferson St
Suite 302
Des Plaines, IL 60016-7119
Mailing address
1300 Jefferson St
Suite 302
Des Plaines, IL 60016-7119
Phone (847) 635-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-022952 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1144340910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 JEFFERSON ST",
"address_2": "SUITE 302",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600167119",
"telephone_number": "847-635-1100",
"fax_number": "847-635-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 JEFFERSON ST",
"address_2": "SUITE 302",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600167119",
"telephone_number": "847-635-1100",
"fax_number": "847-635-1162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVITT",
"first_name": "JAZMIN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019-022952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.