Organization Active NPI

A Melissa Vargas DMD, LTD

  • Pediatric Dentistry
  • Chicago, IL
National Provider Identifier
1508033291
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
019025964 Issued in IL
Legal business name
A MELISSA VARGAS DMD, LTD
Practice address
2222 W Division St
Suite 130
Chicago, IL 60622-2717
Phone
(773) 772-7373
NPI assigned
May 12, 2008
Last updated
Aug 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Dr. A Melissa Lopez, DMD
Title
President
Phone
(773) 758-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 019025964 IL Primary

Addresses

Primary practice location

2222 W Division St
Suite 130
Chicago, IL 60622-2717

Mailing address

3541 N Lowell Ave
Chicago, IL 60641-3835
Phone (773) 758-2010

National Provider Directory

National Provider Directory
Tax ID family
A Melissa Vargas DMD LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1508033291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 N LOWELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413835",
            "telephone_number": "773-758-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "SUITE 130",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-772-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MELISSA VARGAS DMD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "A MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-758-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019025964",
            "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 Aug 16, 2012; 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.