Star Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019023309 Issued in IL

Legal business name

STAR DENTAL CENTER

Practice address

143 N Milwaukee Ave
Wheeling, IL 60090-3013

Phone

(847) 353-8050

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Neli Tujarova

Title

Manager

Phone

(847) 353-8050

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Luis Guillermo Lopera, D.D.S.

  • General Practice Dentistry
  • Wheeling, IL
  • NPI 1578553103
  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1174786057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 N MILWAUKEE AVE",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903013",
            "telephone_number": "847-353-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N MILWAUKEE AVE",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903013",
            "telephone_number": "847-353-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "TUJAROVA",
        "authorized_official_first_name": "NELI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-353-8050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004089",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audree Spewak
• Nori L. Spiro, LCSW
• Anthony Spitz, DPM PC
• Susan Stacy, BACHELOR DEGREE
• Richard Stanislaus
• Starlight Adult Day Care
• Howard Ira Sterling, DPM
• Hannah Stewart, LCSW
• Jennifer Stiller, RN
• Jennifer M Suk, PHARM.D

• General Practice Dentistry in Wheeling, IL
• Providers in Wheeling, 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 Jul 9, 2008; 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.