John R. Marinucci, D.DS., LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019013059 Issued in IL

Legal business name

JOHN R. MARINUCCI, D.DS., LTD.

Practice address

414 Dixie Hwy
Chicago Heights, IL 60411-1739

Phone

(708) 754-7505

Fax

(708) 754-5576

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Rocco Marinucci, D.D.S.

Title

President

Phone

(708) 754-7505

Specialties & licenses 1

Addresses

Other names 1

• none Other name

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1235340373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 DIXIE HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111739",
            "telephone_number": "708-754-7505",
            "fax_number": "708-754-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 DIXIE HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111739",
            "telephone_number": "708-754-7505",
            "fax_number": "708-754-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. MARINUCCI, D.DS., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "MARINUCCI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROCCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-754-7505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019013059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brittani James, M.D.
• Sharon Michele James, MD
• Dion Jefferson
• Kenyon Jenkins
• Andy Jimenez
• Langston A Jones
• Logan Jones, PA-C
• Sharronne Jones, LPN
• Stacey Jones
• Felicia A. J. Jordan Lee

• General Practice Dentistry in Chicago Heights, IL
• Providers in Chicago Heights, 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 Feb 7, 2012; 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.