Organization Active NPI

Patrick a Spilotro DDS PC

  • Clinic/Center
  • Park Ridge, IL
National Provider Identifier
1376740316
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PATRICK A SPILOTRO DDS PC
Practice address
2604 E Dempster St
Landings Professional Center Suite 202
Park Ridge, IL 60068
Phone
(847) 299-0557
Fax
(547) 299-0561
NPI assigned
Jul 2, 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
Dr. Patrick A Spilotro Sr., DDS
Title
Owner Pres
Phone
(847) 299-0557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X IL Primary

Addresses

Primary practice location

2604 E Dempster St
Landings Professional Center Suite 202
Park Ridge, IL 60068

Mailing address

2604 E Dempster St
Landings Professional Center Suite 202
Park Ridge, IL 60068
Phone (847) 299-0557

Other names 1

  • Spilotro Dental Associates Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376740316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 E DEMPSTER ST",
            "address_2": "LANDINGS PROFESSIONAL CENTER SUITE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-299-0557",
            "fax_number": "547-299-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 E DEMPSTER ST",
            "address_2": "LANDINGS PROFESSIONAL CENTER SUITE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-299-0557",
            "fax_number": "547-299-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK A SPILOTRO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPILOTRO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PRES",
        "authorized_official_telephone_number": "847-299-0557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spilotro Dental Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Park Ridge, 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.