Organization Active NPI

Dr Brian Paul del Carlo Ms DDS PC

  • Dentist
  • Downers Grove, IL
National Provider Identifier
1154483451
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19025025 Issued in IL
Legal business name
DR BRIAN PAUL DEL CARLO MS DDS PC
Practice address
1043 Curtiss Street
Downers Grove, IL 60515
Phone
(630) 969-4413
Fax
(630) 969-4414
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Dr. Brian Paul Del Carlo, MS DDS
Title
Owner
Phone
(630) 969-4413

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 19025025 IL Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X IL
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X IL

Addresses

Primary practice location

1043 Curtiss Street
Downers Grove, IL 60515

Mailing address

1043 Curtiss Street
Downers Grove, IL 60515
Phone (630) 969-4413

National Provider Directory

National Provider Directory

Locations

1043 Curtiss St
Downers Grove, IL 60515
Phone (630) 960-9914

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1154483451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 CURTISS STREET",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-969-4413",
            "fax_number": "630-969-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 CURTISS STREET",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-969-4413",
            "fax_number": "630-969-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRIAN PAUL DEL CARLO MS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "DEL CARLO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-969-4413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "19025025",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.