Individual provider Active NPI

Ronald Townsend, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1275523847
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-020723 Issued in IL
Practice address
450-452 E. 75TH Street
Chicago, IL 60619
Phone
(773) 874-9555
Fax
(773) 874-9747
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-020723 IL Primary

Addresses

Primary practice location

450-452 E. 75TH Street
Chicago, IL 60619

Mailing address

450-452 E. 75TH Street
Chicago, IL 60619
Phone (773) 874-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160304001332 IL Order and Referring Only - DentistPractitioner - Dentist 7315128949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-020723ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Townsend Dental Clinic Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1275523847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450-452 E. 75TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60619",
            "telephone_number": "773-874-9555",
            "fax_number": "773-874-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450-452 E. 75TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60619",
            "telephone_number": "773-874-9555",
            "fax_number": "773-874-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-020723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.