Robert T Miserendino DDS LTD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019015140 Issued in IL

Legal business name

ROBERT T MISERENDINO DDS LTD

Practice address

8535 W 79TH St
Justice, IL 60458-2281

Phone

(708) 458-7552

NPI assigned

Aug 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert Miserendino, D.D.S.NPI 1134118110

Title

President

Phone

(708) 458-7552

Specialties & licenses 1

Addresses

Practitioners 2

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

• Robert Thomas Miserendino, D.D.S.

  • General Practice Dentistry
  • Justice, IL
  • NPI 1134118110
  NPD (past) Authorized official
• Madhavi Gadde, DMD

  • General Practice Dentistry
  • Justice, IL
  • NPI 1811371347
  NPD (past)

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1457583536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8535 W 79TH ST",
            "city": "JUSTICE",
            "state": "IL",
            "postal_code": "604582281",
            "telephone_number": "708-458-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8535 W 79TH ST",
            "city": "JUSTICE",
            "state": "IL",
            "postal_code": "604582281",
            "telephone_number": "708-458-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT T MISERENDINO DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "MISERENDINO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-458-7552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019015140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palos Pathology Associates LTD
• Pam Eernisse DPM SC
• Mary Iria Pitaro, M.D.
• Quantum Prosthetics & Orthotics LLC
• Ronisha Rhoden, APRN
• Roberts Park Fire Protection District
• Ruth L Rosol
• Gregory Paul Schubert, D.D.S.
• Ramneek Singh, DMD
• Sylwia Storonowicz, RD

• All providers in Justice, IL
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.