Active NPI
Dr Brian Paul del Carlo Ms DDS PC
- Dentist
- Downers Grove, IL
National Provider Identifier
1154483451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19025025
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19025025 | IL | Primary |
| Periodontics | 1223P0300X | IL | ||
| Oral and Maxillofacial Surgery (Dentist) | 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 DirectoryLocations
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.