Frank Siracusa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019021920 Issued in IL

Practice address

8225 Grand Ave
River Grove, IL 60171-1517

Phone

(708) 453-1110

NPI assigned

Oct 6, 2006

Last updated

Jul 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• River Grove Dental Associates LLC

  • General Practice Dentistry
  • River Grove, IL
  • NPI 1093027658
  NPD (past) Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278806400000",
    "number": "1285721928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 GRAND AVE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711517",
            "telephone_number": "708-453-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 GRAND AVE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711517",
            "telephone_number": "708-453-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRACUSA",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019021920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Grove School District 85.5
• Robert Rutkowski DCPC
• Robert Rutkowski, D.C.
• S. David Demorest
• David Shifman, D.C.
• Jared Sivinski, DPT
• Michael Leonard Siwek, D.D.S
• Angela Maria Snyder, MSN, FNP-BC
• Charles R Soderquist, DDS
• James J Stawowy, PHARMACIST

• General Practice Dentistry in River Grove, IL
• Providers in River Grove, 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 Jul 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.