Lerias & Quesea DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-026070 Issued in IL

Legal business name

LERIAS & QUESEA DDS PC

Practice address

142 W Irving Park Rd
Wood Dale, IL 60191-1341

Phone

(630) 766-3840

NPI assigned

Feb 25, 2011

Last updated

Feb 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richie V Lerias

Title

Owner

Phone

(630) 766-3840

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1508163692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 W. IRVING PARK RD",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "60191",
            "telephone_number": "630-766-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W IRVING PARK RD",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911341",
            "telephone_number": "630-766-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LERIAS & QUESEA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "LERIAS",
        "authorized_official_first_name": "RICHIE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-766-3840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-026070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Wood Dale, IL
• Providers in Wood Dale, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.