Park Ridge Periodontics, Inc.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

021.001183 Issued in IL

Legal business name

PARK RIDGE PERIODONTICS, INC.

Practice address

511 W Talcott Rd
Park Ridge, IL 60068-5338

Phone

(847) 318-0066

Fax

(847) 318-9574

NPI assigned

Jan 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Charles Frank Difranco, DDS, MS

Title

President

Phone

(847) 318-0066

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Josephine Difranco Bordignon, R.N., D.D.S.

  • Periodontics
  • Park Ridge, IL
  • NPI 1164657698
  NPD (past)
• Geraldine Ann Difranco, D.D.S.

  • Periodontics
  • Palos Hills, IL
  • NPI 1063535003
  NPD (past)

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1144567595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W TALCOTT RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685338",
            "telephone_number": "847-318-0066",
            "fax_number": "847-318-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W TALCOTT RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685338",
            "telephone_number": "847-318-0066",
            "fax_number": "847-318-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE PERIODONTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "DIFRANCO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-318-0066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021.001183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Ridge Healthcare Center LLC
• Park Ridge Lab Inc
• Park Ridge Multi-Med, S.C.
• Park Ridge North Suburban Vision Consultants LLC
• Park Ridge Pediatrics PC
• Park Ridge Physical Therapy Clinic PC
• Park Ridge Psychological Services, LTD
• Park Ridge Psychotherapy and Counseling Services, Inc.
• Park Ridge Service Corporation
• Park Ridge Skilled Nursing Facility LLC

• Periodontics in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.