John J Brescia DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019016649 Issued in IL

Legal business name

JOHN J BRESCIA DDS, PC

Practice address

7411 Lake St Ste L100
River Forest, IL 60305-1940

Phone

(708) 366-0424

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John J Brescia, D.D.S.NPI 1609233782

Title

President

Phone

(708) 366-0424

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.

• John Brescia, DDS

  • General Practice Dentistry
  • River Forest, IL
  • NPI 1609233782
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1154549160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 LAKE ST STE L100",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051940",
            "telephone_number": "708-366-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 LAKE ST STE L100",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051940",
            "telephone_number": "708-366-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J BRESCIA DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "BRESCIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-366-0424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019016649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in River Forest, IL
• Providers in River Forest, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.