Organization Active NPI

VDC Cicero Corp

  • General Practice Dentistry
  • Cicero, IL
National Provider Identifier
1467920686
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VDC CICERO CORP
Practice address
3320 S Cicero Ave
Cicero, IL 60804-4531
Phone
(917) 544-1626
NPI assigned
Nov 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Esam Jumani, DDS
Title
Owner
Phone
(917) 544-1626

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

3320 S Cicero Ave
Cicero, IL 60804-4531

Mailing address

3320 S Cicero Ave
Cicero, IL 60804-4531
Phone (917) 544-1626

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1467920686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 S CICERO AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044531",
            "telephone_number": "917-544-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 S CICERO AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044531",
            "telephone_number": "917-544-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VDC CICERO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "JUMANI",
        "authorized_official_first_name": "ESAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-544-1626",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.