Organization Active NPI

Dr. Ricardo G. Tapiador

  • Health Maintenance Organization
  • Waukegan, IL
National Provider Identifier
1598189201
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
19-A15676 Issued in IL
Legal business name
DR. RICARDO G. TAPIADOR
Practice address
1616 Grand Avenue,
Ste. 106
Waukegan, IL 60085
Phone
(847) 662-2121
Fax
(847) 625-9688
NPI assigned
Feb 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Dr. Ricardo G Tapiador, DMD
Title
Dentist
Phone
(847) 662-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 19-A15676 IL Primary

Addresses

Primary practice location

1616 Grand Avenue,
Ste. 106
Waukegan, IL 60085

Mailing address

1616 Grand Ave Ste 106
Waukegan, IL 60085-3676
Phone (847) 662-2121

National Provider Directory

National Provider Directory

Locations

1616 Grand Ave
Ste 106
Waukegan, IL 60085
Phone (847) 662-2121

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1598189201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 GRAND AVE STE 106",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600853676",
            "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": "1616 GRAND AVENUE,",
            "address_2": "STE. 106",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "60085",
            "telephone_number": "847-662-2121",
            "fax_number": "847-625-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICARDO G. TAPIADOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "TAPIADOR",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-662-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "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 Feb 17, 2014; 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.