Organization Active NPI

Dentistry and Implantology Group of Orland Park, PC

  • General Practice Dentistry
  • Orland Park, IL
National Provider Identifier
1356560395
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTISTRY AND IMPLANTOLOGY GROUP OF ORLAND PARK, PC
Practice address
15750 S Harlem Ave Ste 36
Orland Park, IL 60462-5295
Phone
(708) 429-5575
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Philip Cole, DDSNPI 1639393861
Title
President
Phone
(708) 429-5575

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

15750 S Harlem Ave Ste 36
Orland Park, IL 60462-5295

Mailing address

15750 S Harlem Ave Ste 36
Orland Park, IL 60462-5295
Phone (708) 429-5575

National Provider Directory

National Provider Directory

Locations

15750 S Harlem Ave
Ste 36
Orland Park, IL 60462
Phone (708) 429-5575

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356560395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15750 S HARLEM AVE STE 36",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625295",
            "telephone_number": "708-429-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15750 S HARLEM AVE STE 36",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625295",
            "telephone_number": "708-429-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY AND IMPLANTOLOGY GROUP OF ORLAND PARK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-429-5575",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.