Joseph Richard Sperlazzo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

421 W Irving Park Rd
Itasca, IL 60143-2039

Phone

(630) 773-9166

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 3, 2019 through Jul 3, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jsperlazzo19808@direct.midwestern.edu

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.

• Joseph R. Sperlazzo D.D.S., P.C.

  • Dental Clinic/Center
  • Itasca, IL
  • NPI 1821263773
  NPD (past) Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376562959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SOMERSET DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601886078",
            "telephone_number": "630-510-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W IRVING PARK RD",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601432039",
            "telephone_number": "630-773-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERLAZZO",
        "first_name": "JOSEPH",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Shermer, CTRS, BCBA
• Skill Builders, Inc.
• Anna Sloan
• Sylwia Lucja Smirnow, PHYSICAL THERAPIST B
• Rudia Yun So, PHARMD
• Taylor Stevens
• Mira Suvagia, DMD, MS
• Caitlin Tacadena, BCBA
• Mohammad Tauseef
• Terrence Tom, BCBA

• General Practice Dentistry in Itasca, IL
• Providers in Itasca, IL by specialty
• General Practice Dentistry 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.