Active NPI
Morton Alvin Shapiro, D.D.S.
- Dentist
- Chicago, IL
National Provider Identifier
1659515369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19A11839
- Practice address
- 3434 W. Peterson
Suite 203
Chicago, IL 60659 - Phone
- (773) 604-4619
- Fax
- (773) 604-4619
- NPI assigned
- Apr 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 19A11839 | IL | Primary |
Addresses
Primary practice location
3434 W. Peterson
Suite 203
Chicago, IL 60659
Mailing address
3434 W. Peterson
Suite 203
Chicago, IL 60659
Phone (773) 604-4619
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 |
|---|---|---|---|
| 19A11839 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240531200000",
"number": "1659515369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3434 W. PETERSON",
"address_2": "SUITE 203",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60659",
"telephone_number": "773-604-4619",
"fax_number": "773-604-4619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 W. PETERSON",
"address_2": "SUITE 203",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60659",
"telephone_number": "773-604-4619",
"fax_number": "773-604-4619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "MORTON",
"middle_name": "ALVIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-24",
"last_updated": "2009-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "19A11839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.