NPIMap

Organization Active NPI

T Marie PC

  • Dentist
  • Evanston, IL
National Provider Identifier
1447584560
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019026504 Issued in IL
Legal business name
T MARIE PC
Practice address
1029 Howard St
Evanston, IL 60202-3877
Phone
(847) 491-0660
NPI assigned
Sep 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Dr. Trina BluntNPI 1518956978
Title
Dentist
Phone
(773) 827-7874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019026504 IL Primary

Addresses

Primary practice location

1029 Howard St
Evanston, IL 60202-3877

Mailing address

8100 S Luella Ave
Chicago, IL 60617-1152

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1447584560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 S LUELLA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 HOWARD ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023877",
            "telephone_number": "847-491-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T MARIE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "BLUNT",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-827-7874",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.