Individual provider Active NPI

Richie Vasquez Lerias, D.D.S

  • General Practice Dentistry
  • Palatine, IL
National Provider Identifier
1215119730
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
2201 Plum Grove Rd
Palatine, IL 60067-9404
Phone
(847) 397-5868
NPI assigned
Nov 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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 IL Primary

Addresses

Primary practice location

2201 Plum Grove Rd
Palatine, IL 60067-9404

Mailing address

1210 Chicago Ave
Unit 201
Evanston, IL 60202-6513
Phone (847) 328-2054

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
019026070ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lanson Dental P.C. Past Accepting new patients
Palatine New Age Dental 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1215119730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 CHICAGO AVE",
            "address_2": "UNIT 201",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602026513",
            "telephone_number": "847-328-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 PLUM GROVE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600679404",
            "telephone_number": "847-397-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERIAS",
        "first_name": "RICHIE",
        "middle_name": "VASQUEZ",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.