Dr Paul Russell a Nicotra DDS LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

01913082 Issued in IL

Legal business name

DR PAUL RUSSELL A NICOTRA DDS LTD

Practice address

135 W Johnson St
Ste #3
Palatine, IL 60067

Phone

(847) 358-4700

Fax

(847) 358-8625

NPI assigned

Oct 19, 2007

Last updated

Oct 19, 2007By 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

Dr. Paul R a Nicotra Sr., DDSNPI 1831385004

Title

Pres

Phone

(847) 358-4700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Russell a Nicotra Sr., DDS

  • General Practice Dentistry
  • Palatine, IL
  • NPI 1831385004
  NPD (past) Authorized official

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1578752044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W JOHNSON ST",
            "address_2": "STE #3",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "60067",
            "telephone_number": "847-358-4700",
            "fax_number": "847-358-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W JOHNSON ST",
            "address_2": "STE #3",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "60067",
            "telephone_number": "847-358-4700",
            "fax_number": "847-358-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PAUL RUSSELL A NICOTRA DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "NICOTRA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "847-358-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01913082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominick's Pharmacy
• Donna Maddalozzo DDS Ms PC
• Helen M Donnelly-Owens, FNP
• Michael T Donovan, D.D.S.
• Dr Gerard Aylward Orthodontics, PC
• Dr. Ann Dourlet Mott, P.C.
• Dr. Hugo F. Bertagni DDS
• Dr. Patrick Dicillo, S.C.
• Dr. Robert Gerowitz, Optometrist P.C.
• Emily K Drake

• General Practice Dentistry in Palatine, IL
• Providers in Palatine, 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 Oct 19, 2007; 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.