Active NPI
Dipilla Dentistry of Lincoln Park
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1245975101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DIPILLA DENTISTRY OF LINCOLN PARK
- Practice address
- 1009 West Webster Ave
Chicago, IL 60614-3502 - Phone
- (313) 246-8288
- NPI assigned
- May 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennier Ausilio
- Title
- Contracting Manager
- Phone
- (586) 615-6865
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1009 West Webster Ave
Chicago, IL 60614-3502
Mailing address
1009 West Webster Ave
Chicago, IL 60614-3502
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652140800000",
"number": "1245975101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 WEST WEBSTER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 WEST WEBSTER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143502",
"telephone_number": "313-246-8288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIPILLA DENTISTRY OF LINCOLN PARK",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-04",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A",
"authorized_official_last_name": "AUSILIO",
"authorized_official_first_name": "JENNIER",
"authorized_official_title_or_position": "CONTRACTING MANAGER",
"authorized_official_telephone_number": "586-615-6865",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.