D2 Dental of Illinois, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

D2 DENTAL OF ILLINOIS, P.C.

Practice address

2101 E 71St St
Suite C
Chicago, IL 60649-2143

Phone

(708) 386-4800

NPI assigned

Apr 12, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Boris Labinov

Title

Agent

Phone

(708) 386-4800

Specialties & licenses 1

Addresses

Tax ID family

D2 Dental of Illinois PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• D2 Dental of Illinois, P.C.

  • Dentist
  • Chicago, IL
  • NPI 1821301102
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vida Soltani Shirazi, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1033792437
  NPD (past)

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1255774865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE",
            "address_2": "SUITE 302A",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E 71ST ST",
            "address_2": "SUITE C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492143",
            "telephone_number": "708-386-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D2 DENTAL OF ILLINOIS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "LABINOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "708-386-4800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D2 Dental at Oak Street, P.C.
• D2 Dental at Oak Street, P.C.
• D2 Dental at Oak Street, P.C.
• D2 Dental at Oak Street, P.C.
• D2 Dental at Oak Street, P.C.
• D2 Dental of Illinois, P.C.
• D2 Dental of Lansing, P.C.
• Carla Da Cunha
• Carlos Rafael Da Fonseca, M.D
• Carla Luisa Da Goia Pinto, MBBS

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Jun 6, 2013; 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.