NPIMap

Organization Active NPI

Oak Lawn Dental Associates PC

  • Dentist
  • Oak Lawn, IL
National Provider Identifier
1316203458
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19018803 Issued in IL
Legal business name
OAK LAWN DENTAL ASSOCIATES PC
Practice address
9101 S Cicero Ave
Oak Lawn, IL 60453-1804
Phone
(708) 423-0940
Fax
(708) 423-0980
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Dr. Perry E Rossino, D.D.S.NPI 1326242884
Title
Owner
Phone
(708) 423-0940

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19018803 IL Primary

Addresses

Primary practice location

9101 S Cicero Ave
Oak Lawn, IL 60453-1804

Mailing address

9101 S Cicero Ave
Oak Lawn, IL 60453-1804
Phone (708) 423-0940

National Provider Directory

National Provider Directory

Locations

9101 S Cicero Ave
Oak Lawn, IL 60453
Phone (708) 419-1601

Practitioners & affiliated clinicians

Practitioners 2

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": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1316203458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531804",
            "telephone_number": "708-423-0940",
            "fax_number": "708-423-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531804",
            "telephone_number": "708-423-0940",
            "fax_number": "708-423-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK LAWN DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "ROSSINO",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-423-0940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "19018803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.