Active NPI
Reda Cepulenaite
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1407161185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.028292
- Practice address
- 25 E Washington St Ste 1300
Chicago, IL 60602-1802 - Phone
- (312) 368-6400
- Fax
- (312) 368-6426
- NPI assigned
- Aug 18, 2010
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.028292 | IL | Primary |
Addresses
Primary practice location
25 E Washington St Ste 1300
Chicago, IL 60602-1802
Mailing address
25 E Washington St Ste 1300
Chicago, IL 60602-1802
Phone (312) 368-6400
Other names 1
- Reda Cepulenaite
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 |
|---|---|---|---|
| 019.028292 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1407161185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 E WASHINGTON ST STE 1300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021802",
"telephone_number": "312-368-6400",
"fax_number": "312-368-6426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E WASHINGTON ST STE 1300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021802",
"telephone_number": "312-368-6400",
"fax_number": "312-368-6426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEPULENAITE",
"first_name": "REDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.028292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REDA",
"last_name": "CEPULENAITE",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
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 Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.