Implant Dental Arts

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

BT 0632403 Issued in IL

Legal business name

IMPLANT DENTAL ARTS

Practice address

437 W North Ave
Chicago, IL 60610-1420

Phone

(312) 664-2100

NPI assigned

Feb 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Peter Michael Tomaselli, D.D.S.NPI 1497811236

Title

Practice Owner

Phone

(312) 664-2100

Specialties & licenses 2

Addresses

Other names 1

• Chicago Smile Design Doing business as

Practitioners 1

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

• Peter M Tomaselli, DDS,FICOI,FACE,FDOCS

  • Dentist
  • Chicago, IL
  • NPI 1497811236
  NPD (past) Authorized official

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1265764419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101420",
            "telephone_number": "312-664-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101420",
            "telephone_number": "312-664-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPLANT DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "TOMASELLI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "312-664-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "BT 0632403",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Smile Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Impact Family Health Care, LTD.
• Impact Healthcare PLLC
• Impact Physical Therapy, LLC
• Impala Express Clinical Laboratory Service Inc
• Imperfect Path PLLC
• Implant Endo Inc
• Implant Solutions
• Implied Human Dynamics Personal Care Home
• Improving Life Counseling Inc.
• Muhammad Mustafa Imran

• 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 Feb 12, 2010; 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.