Individual provider Active NPI

Mark Victor Valentinas, DDS

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1205099454
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019017898 Issued in IL
Practice address
1001 E Chicago Ave
#143
Naperville, IL 60540-5526
Phone
(630) 369-0111
Fax
(630) 369-0378
NPI assigned
Jul 8, 2008
Last updated
Jul 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019017898 IL Primary

Addresses

Primary practice location

1001 E Chicago Ave
#143
Naperville, IL 60540-5526

Mailing address

1001 E Chicago Ave
#143
Naperville, IL 60540-5526
Phone (630) 369-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019017898ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Care Family Dental, PC Past Accepting new patients
Mark V. Valentinas DDS,PC General Practice Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1205099454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E CHICAGO AVE",
            "address_2": "#143",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405526",
            "telephone_number": "630-369-0111",
            "fax_number": "630-369-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E CHICAGO AVE",
            "address_2": "#143",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405526",
            "telephone_number": "630-369-0111",
            "fax_number": "630-369-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINAS",
        "first_name": "MARK",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.