Vincent R. Crescenzo, D.D.S., LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VINCENT R. CRESCENZO, D.D.S., LTD.

Practice address

171 W 10TH St
Suite 100
Chicago Heights, IL 60411-2072

Phone

(708) 503-5001

Fax

(708) 503-5008

NPI assigned

Apr 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Ralph Cres, D.D.S.

Title

President

Phone

(708) 503-5001

Specialties & licenses 1

Addresses

Other names 1

• Crescenzo Dental Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Paul Rodriguez, D.D.S.

  • Dentist
  • Chicago Heights, IL
  • NPI 1255417010
  NPD (past)

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1407290208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 W 10TH ST",
            "address_2": "SUITE 100",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112072",
            "telephone_number": "708-503-5001",
            "fax_number": "708-503-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 W 10TH ST",
            "address_2": "SUITE 100",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112072",
            "telephone_number": "708-503-5001",
            "fax_number": "708-503-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT R. CRESCENZO, D.D.S., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "CRES",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-503-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescenzo Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann M Vendrely, PT
• Veterans Administration
• Victorious Home Care Agency Inc
• Victorious Home Health Care Limited
• Victorious Home Nursing, Inc
• Subhash M Waikar, MD
• Walgreen Co
• Kennedi Wallace
• Nancy J Walsh, P.T.
• Dianna Walton-Taylor

• General Practice Dentistry in Chicago Heights, IL
• Providers in Chicago Heights, 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 Apr 23, 2013; 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.