Damir Mitrovic, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-024869 Issued in IL

Practice address

2334 W Lawrence Ave
208
Chicago, IL 60625-1948

Phone

(773) 334-4567

Fax

(773) 334-4537

NPI assigned

Feb 7, 2007

Last updated

Oct 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Dimario Dental Services

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1124287362
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1346380888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 W BRIAR PL",
            "address_2": "7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574775",
            "telephone_number": "773-477-6507",
            "fax_number": "773-477-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 W LAWRENCE AVE",
            "address_2": "208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251948",
            "telephone_number": "773-334-4567",
            "fax_number": "773-334-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITROVIC",
        "first_name": "DAMIR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-024869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akash Mitra, MD
• Debi Mitra, MD
• Kishen Mitra
• Tarini Mitra
• Dilyana G Mitreva, LSW
• Nenad Mitrovic, M.AC LIC.AC DN LMT
• Shannon Elizabeth Mitrovich
• Aman Mittal
• Ananya Mittal
• Bharat B. Mittal, M.D.

• 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 Oct 6, 2015; 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.