NPIMap

Organization Active NPI

Maple Park Dental Care, P.C.

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1487714671
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
060008694 Issued in IL
Legal business name
MAPLE PARK DENTAL CARE, P.C.
Practice address
1048 104TH Street
#108
Naperville, IL 60464
Phone
(630) 904-7100
Fax
(630) 904-7111
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Dr. Julie Marie Romanelli, D.D.S.NPI 1194885210
Title
President
Phone
(630) 904-7100

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 060008694 IL Primary

Addresses

Primary practice location

1048 104TH Street
#108
Naperville, IL 60464

Mailing address

1048 104TH Street
#108
Naperville, IL 60464
Phone (630) 904-7100

National Provider Directory

National Provider Directory

Locations

1048 104th St
Ste 108
Naperville, IL 60564
Phone (630) 904-7100

Practitioners & affiliated clinicians

Practitioners 3

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1487714671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 104TH STREET",
            "address_2": "#108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60464",
            "telephone_number": "630-904-7100",
            "fax_number": "630-904-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 104TH STREET",
            "address_2": "#108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60464",
            "telephone_number": "630-904-7100",
            "fax_number": "630-904-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE PARK DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "ROMANELLI",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-904-7100",
        "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": "IL",
            "license": "060008694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.