Organization Active NPI

Mario F. Rincon, DDS, PC

  • General Practice Dentistry
  • Aurora, IL
National Provider Identifier
1568636686
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARIO F. RINCON, DDS, PC
Practice address
157 S Lincoln Ave
Ste B
Aurora, IL 60505-4264
Phone
(630) 844-0550
Fax
(630) 892-7967
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Mario F. Rincon, D.D.S.NPI 1760525729
Title
Owner/President
Phone
(630) 892-7967

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

157 S Lincoln Ave
Ste B
Aurora, IL 60505-4264

Mailing address

157 S Lincoln Ave
Ste B
Aurora, IL 60505-4264
Phone (630) 844-0550

Other names 1

  • AURORA LINCOLN DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

157 S Lincoln Ave
Ste B
Aurora, IL 60505
Phone (630) 844-0550

Practitioners & affiliated clinicians

Practitioners 1

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1568636686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 S LINCOLN AVE",
            "address_2": "STE B",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054264",
            "telephone_number": "630-844-0550",
            "fax_number": "630-892-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 S LINCOLN AVE",
            "address_2": "STE B",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054264",
            "telephone_number": "630-844-0550",
            "fax_number": "630-892-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO F. RINCON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "RINCON",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "630-892-7967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AURORA LINCOLN DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.