Active NPI
Ricardo G Tapiador, DMD
- General Practice Dentistry
- Waukegan, IL
National Provider Identifier
1568410116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19-A15676
- Practice address
- 1531 Grand Ave
Waukegan, IL 60085-3671 - Phone
- (847) 662-2121
- Fax
- (847) 625-9688
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19-A15676 | IL | Primary |
Addresses
Primary practice location
1531 Grand Ave
Waukegan, IL 60085-3671
Mailing address
1531 Grand Ave
Waukegan, IL 60085-3671
Phone (847) 662-2121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-A15676 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1568410116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 GRAND AVE",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600853671",
"telephone_number": "847-662-2121",
"fax_number": "847-625-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 GRAND AVE",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600853671",
"telephone_number": "847-662-2121",
"fax_number": "847-625-9688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPIADOR",
"first_name": "RICARDO",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "19-A15676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.