Active NPI
Joni Evangelista
- Dental Hygienist
- Chicago, IL
National Provider Identifier
1366732844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 020.012553
- Practice address
- 2750 W North Ave
2ND Floor
Chicago, IL 60647-5247 - Phone
- (312) 432-4550
- NPI assigned
- Apr 18, 2011
- Last updated
- Apr 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 020.012553 | IL | Primary |
Addresses
Primary practice location
2750 W North Ave
2ND Floor
Chicago, IL 60647-5247
Mailing address
1354 N Wolcott Ave
Unit a
Chicago, IL 60622-3110
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020.012553 | IL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303084800000",
"number": "1366732844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1354 N WOLCOTT AVE",
"address_2": "UNIT A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 W NORTH AVE",
"address_2": "2ND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606475247",
"telephone_number": "312-432-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANGELISTA",
"first_name": "JONI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-18",
"last_updated": "2011-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "IL",
"license": "020.012553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Evangelical Child and Family Agency (ECFA Counseling Centers)
- Camilo Evangelista, PT
- Christina Maria Evangelista, PHARMD
- Deeva Alexa Evangelista
- Evangelene Evangelista, COTA/L
- Mary Jane Evangelista, PHD,DNP,PMHNP
- Andrew Evangelisti, DPM
- Anjelika Amaleah Evangelopoulos, M.D.
- Evans & Evans Counseling& Consulting Services Inc
- Kenyatta Evans-Snulligan, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.