Individual provider Active NPI

Peter Joseph Lio, DDS.,M.S

  • Endodontics
  • Chicago, IL
National Provider Identifier
1366518573
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Practice address
845 N Michigan Ave
Suite 921 E
Chicago, IL 60611-2252
Phone
(312) 751-0026
Fax
(312) 751-0241
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X IL Primary

Addresses

Primary practice location

845 N Michigan Ave
Suite 921 E
Chicago, IL 60611-2252

Mailing address

845 N Michigan Ave
Suite 921 E
Chicago, IL 60611-2252
Phone (312) 751-0026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019-013869ILMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Water Tower Endodontics, LTD. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366518573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE",
            "address_2": "SUITE 921 E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112252",
            "telephone_number": "312-751-0026",
            "fax_number": "312-751-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE",
            "address_2": "SUITE 921 E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112252",
            "telephone_number": "312-751-0026",
            "fax_number": "312-751-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIO",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "credential": "DDS.,M.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • 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.