Austriaco Dental Associates - Peru LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AUSTRIACO DENTAL ASSOCIATES - PERU LLC

Practice address

5301 State Route 251 Ste a
Peru, IL 61354-9317

Phone

(815) 410-3003

NPI assigned

Aug 31, 2017

Last updated

Aug 31, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerome Austriaco

Title

Owner

Phone

(815) 410-3003

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, and the practitioner matching its NPPES authorized official.

• Kenneth Joseph Kadziela, D.D.S.

  • Dentist
  • Chicago, IL
  • NPI 1841457645
  NPD (past)

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1154849966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 STATE ROUTE 251 STE A",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613549317",
            "telephone_number": "815-410-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTRIACO DENTAL ASSOCIATES - PERU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "AUSTRIACO",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-410-3003"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Marie Anderes, R.D., L.D.N.
• Andreoni & Co (Girlfriends Apparel)
• Tracey Ann Antle, C.N.M
• Apex Medical PC
• Haleigh Catherine Augspols, MS, RD, LDN
• Juli Baker
• Emily Balestri, DPT
• Jane Battles, APN
• Mida N Bautista-Dittmar, PT
• Tamara Leigh Beaber, LSW

• General Practice Dentistry in Peru, IL
• Providers in Peru, 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 Aug 31, 2017; 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.