NPIMap

Organization Active NPI

J.V. Discipio, D.D.S. & Assoc., LTD.

  • General Practice Dentistry
  • Berwyn, IL
National Provider Identifier
1265508949
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19A-10123 Issued in IL
Legal business name
J.V. DISCIPIO, D.D.S. & ASSOC., LTD.
Practice address
6737 Stanley Ave
Berwyn, IL 60402-3129
Phone
(708) 749-0133
Fax
(708) 749-7778
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Lawrence Discipio, D.D.S., M.S.NPI 1639239866
Title
President-Owner
Phone
(708) 749-0133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 19A19017 IL
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 19A-10123 IL Primary

Addresses

Primary practice location

6737 Stanley Ave
Berwyn, IL 60402-3129

Mailing address

6737 Stanley Ave
Berwyn, IL 60402-3129
Phone (708) 749-0133

Other identifiers 2

IdentifierTypeStateIssuer
$$$$$$$$$OtherILSOCIAL SECURITY NUMBER
$$$$$$$$$OtherILSOCIAL SECURITY NUMBER

National Provider Directory

National Provider Directory

Locations

6737 Stanley Ave
Berwyn, IL 60402
Phone (708) 749-0133

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265508949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 STANLEY AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023129",
            "telephone_number": "708-749-0133",
            "fax_number": "708-749-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6737 STANLEY AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023129",
            "telephone_number": "708-749-0133",
            "fax_number": "708-749-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.V. DISCIPIO, D.D.S. & ASSOC., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DISCIPIO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "708-749-0133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19A19017",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19A-10123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.