Organization Active NPI

Jourdan and Giannini Dental

  • Dentist
  • Brookfield, IL
National Provider Identifier
1699953364
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JOURDAN AND GIANNINI DENTAL
Practice address
9146 Broadway Ave
Brookfield, IL 60513-1304
Phone
(708) 485-4997
Fax
(708) 485-2611
NPI assigned
Feb 5, 2008
Last updated
Mar 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Dr. Anthony F. Giannini, DDS
Title
VP
Phone
(708) 485-4997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

9146 Broadway Ave
Brookfield, IL 60513-1304

Mailing address

9146 Broadway Ave
Brookfield, IL 60513-1304
Phone (708) 485-4997

National Provider Directory

National Provider Directory

Locations

3745 Grand Blvd
Brookfield, IL 60513

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": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1699953364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9146 BROADWAY AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131304",
            "telephone_number": "708-485-4997",
            "fax_number": "708-485-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9146 BROADWAY AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131304",
            "telephone_number": "708-485-4997",
            "fax_number": "708-485-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURDAN AND GIANNINI DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "GIANNINI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "708-485-4997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.