Active NPI
Paul Lazari LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Oak Park, IL
National Provider Identifier
1295340990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- PAUL LAZARI LLC
- Practice address
- 161 N Marion St
Oak Park, IL 60301-1032 - Phone
- (708) 613-5023
- NPI assigned
- Sep 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Lazari, DDS
- Title
- President
- Phone
- (408) 781-2933
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
161 N Marion St
Oak Park, IL 60301-1032
Mailing address
161 N Marion St
Oak Park, IL 60301-1032
Phone (708) 613-5023
National Provider Directory
National Provider DirectoryLocations
161 N Marion St
Oak Park, IL 60301
Phone (708) 383-6770
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Chicago, IL
- NPI 1083068928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599696000000",
"number": "1295340990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 N MARION ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011032",
"telephone_number": "708-613-5023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 N MARION ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011032",
"telephone_number": "708-613-5023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL LAZARI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A",
"authorized_official_last_name": "LAZARI",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-781-2933",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.