Individual provider Active NPI

Silvio Arauz, D.D.S

  • Dentist
  • Chicago, IL
National Provider Identifier
1649682782
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019029891 Issued in IL
Practice address
2475 W Pensacola Ave Unit 1
Chicago, IL 60618-1684
Phone
(314) 707-1442
NPI assigned
May 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019029891 IL Primary

Addresses

Primary practice location

2475 W Pensacola Ave Unit 1
Chicago, IL 60618-1684

Mailing address

2475 W Pensacola Ave Unit 1
Chicago, IL 60618-1684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151208001966 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7618277096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019029891ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1649682782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 W PENSACOLA AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 W PENSACOLA AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181684",
            "telephone_number": "314-707-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAUZ",
        "first_name": "SILVIO",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.