NPIMap

Organization Active NPI

Naperville Dental Specialists and General Oral Health Care

  • Dentist
  • Naperville, IL
National Provider Identifier
1356648901
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NAPERVILLE DENTAL SPECIALISTS AND GENERAL ORAL HEALTH CARE
Practice address
55 S Main St
Suite 241
Naperville, IL 60540-5372
Phone
(630) 848-2010
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Dr. Anthony Lavacca, DMD
Title
President
Phone
(630) 848-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

55 S Main St
Suite 241
Naperville, IL 60540-5372

Mailing address

55 S Main St
Suite 241
Naperville, IL 60540-5372
Phone (630) 848-2010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1356648901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S MAIN ST",
            "address_2": "SUITE 241",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405372",
            "telephone_number": "630-848-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S MAIN ST",
            "address_2": "SUITE 241",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405372",
            "telephone_number": "630-848-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE DENTAL SPECIALISTS AND GENERAL ORAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "LAVACCA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-848-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.