Organization Active NPI

Isabella Terrassa Reyes DMD PC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1457718215
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.029465 Issued in IL
Legal business name
ISABELLA TERRASSA REYES DMD PC
Practice address
100 W Chestnut St
Apt. 1008
Chicago, IL 60610-3225
Phone
(939) 475-6629
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Dr. Isabella Terrassa Reyes, D.M.D.
Title
Owner
Phone
(939) 475-6629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019.029465 IL Primary

Addresses

Primary practice location

100 W Chestnut St
Apt. 1008
Chicago, IL 60610-3225

Mailing address

100 W Chestnut St
Apt. 1008
Chicago, IL 60610-3225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1457718215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CHESTNUT ST",
            "address_2": "APT. 1008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CHESTNUT ST",
            "address_2": "APT. 1008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103225",
            "telephone_number": "939-475-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABELLA TERRASSA REYES DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "TERRASSA REYES",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "939-475-6629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 25, 2016; 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.