Organization Active NPI

Courtney R Villari DDS

Doing business as Ovation Dental

  • Dentist
  • River Forest, IL
National Provider Identifier
1669748430
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019027942 Issued in IL
Legal business name
COURTNEY R VILLARI DDS
Doing business as
Ovation Dental
Practice address
7700 Madison St
Suite #1
River Forest, IL 60305-2102
Phone
(708) 689-0419
Fax
(708) 689-0687
NPI assigned
Mar 27, 2012
Last updated
Mar 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Courtney R Villari, DDSNPI 1922234244
Title
Owner
Phone
(708) 689-0419

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
Dentist 122300000X 019027942 IL Primary

Addresses

Primary practice location

7700 Madison St
Suite #1
River Forest, IL 60305-2102

Mailing address

7700 Madison St
Suite #1
River Forest, IL 60305-2102
Phone (708) 689-0419

Other names 1

  • Ovation Dental Doing business as

National Provider Directory

National Provider Directory

Locations

7700 Madison St
Ste 1
River Forest, IL 60305
Phone (708) 689-0419

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1669748430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 MADISON ST",
            "address_2": "SUITE #1",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052102",
            "telephone_number": "708-689-0419",
            "fax_number": "708-689-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 MADISON ST",
            "address_2": "SUITE #1",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052102",
            "telephone_number": "708-689-0419",
            "fax_number": "708-689-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY R VILLARI DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "VILLARI",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-689-0419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ovation Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in River Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.