Marilys Valcourt Ewa, DDS, MPH

Primary specialty

DentistTaxonomy code 122300000X

Practice address

2917 W 63Rd St
Chicago, IL 60629-2729

Phone

(773) 476-8217

Fax

(773) 476-8251

NPI assigned

Jun 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Gentle Dental Center Professional name

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 and National Provider Directory roles.

• Gentle Dental Center

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1790152197
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356546840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292729",
            "telephone_number": "773-476-8217",
            "fax_number": "773-476-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292729",
            "telephone_number": "773-476-8217",
            "fax_number": "773-476-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALCOURT EWA",
        "first_name": "MARILYS",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA TDC",
            "identifier": "158077525126",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPDENT",
            "identifier": "001075",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001783",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST COMMONWEALTH",
            "identifier": "013043",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL NETWORK OF AMERICA",
            "identifier": "0000779",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENTLE",
            "last_name": "CENTER",
            "middle_name": "DENTAL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Daiva Kristina Valaitis, MD
• Sandra Valaitis
• Paul S. Valasek, DDS
• Valeria S Valbuena, MD
• Franklyn Edgardo Valcarso, M.D.
• Benito Valdepenas III, PHARMD
• James Valderrama, MD
• Sofia Valdes Camacho, MD
• Angeles M Valdes, DPM
• Anthony Alexander Valdes, RPH

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.