Howard L Blivaiss DDS and Associates PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HOWARD L BLIVAISS DDS AND ASSOCIATES PC

Practice address

3500 W Peterson Ave
Suite 200
Chicago, IL 60659-3306

Phone

(773) 509-1234

Fax

(773) 509-0495

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Howard L Blivaiss, DDSNPI 1922168954

Title

President

Phone

(773) 509-1234

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Howard L Blivaiss, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1922168954
  NPD (past) Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154481182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W PETERSON AVE",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593306",
            "telephone_number": "773-509-1234",
            "fax_number": "773-509-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W PETERSON AVE",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593306",
            "telephone_number": "773-509-1234",
            "fax_number": "773-509-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD L BLIVAISS DDS AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLIVAISS",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-509-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Brown Health Center
• Howard Brown Health Center
• Howard Brown Health Center
• Howard Family Clinic & Urgent Care PLLC
• Howard Gelb LCSW PLLC
• Howard L. Alt, MD, SC
• Howard M. Arof, M.D.
• Howard M. Baim, M.D., S.C.
• Howard Medical Company
• Howard Simon MD PLLC

• All providers in Chicago, IL
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.