Gregory Rosario Cannizzo, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019020771 Issued in IL

Practice address

3617 Municipal Drive
McHenry, IL 60050-7010

Phone

(815) 344-2282

Fax

(815) 344-5815

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Professionals of Illinois, P.C.

  • General Practice Dentistry
  • McHenry, IL
  • NPI 1013695915
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1194755389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 MUNICIPAL DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505434",
            "telephone_number": "815-344-2282",
            "fax_number": "815-344-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 MUNICIPAL DRIVE",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507010",
            "telephone_number": "815-344-2282",
            "fax_number": "815-344-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNIZZO",
        "first_name": "GREGORY",
        "middle_name": "ROSARIO",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019020771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Campbell
• April Campbell
• Gloria Caner, SLP
• Jean Canfield
• Nicole Cannegieter
• Sherry Lynn Cannon
• Kevin Canto
• Nancy Marie Cantwell
• Ana Carbajal
• Rosaura Carbajal

• General Practice Dentistry in McHenry, IL
• Providers in McHenry, 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 May 18, 2009; 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.