Plaza Dental Group, LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PLAZA DENTAL GROUP, LTD.

Practice address

3338 N Harlem Ave
Chicago, IL 60634-3601

Phone

(773) 637-8696

Fax

(773) 637-8666

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Vincent A. Gasparaitis Jr., D.D.S.

Title

Officer

Phone

(773) 637-8696

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1558744649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343601",
            "telephone_number": "773-637-8696",
            "fax_number": "773-637-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343601",
            "telephone_number": "773-637-8696",
            "fax_number": "773-637-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA DENTAL GROUP, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "GASPARAITIS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "773-637-8696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.