NPIMap

Organization Active NPI

Cameo Endodontics, LTD

  • Endodontics
  • River Forest, IL
National Provider Identifier
1700959723
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
21-001023 Issued in IL
Legal business name
CAMEO ENDODONTICS, LTD
Practice address
7603 North Ave
River Forest, IL 60305-1133
Phone
(708) 456-7787
Fax
(708) 689-0853
NPI assigned
Nov 16, 2006
Last updated
Nov 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Dr. Richard Munaretto
Title
President
Phone
(708) 456-7787

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 21-001024 IL
Endodontics 1223E0200X 21-001876 IL
Endodontics 1223E0200X 21-002071 IL
Endodontics 1223E0200X 21-002464 IL
Endodontics 1223E0200X 21-001106 IL
Endodontics 1223E0200X 21-002519 IL
Endodontics 1223E0200X 21-001023 IL Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 21-002515 IL

Addresses

Primary practice location

7603 North Ave
River Forest, IL 60305-1133

Mailing address

7603 North Ave
River Forest, IL 60305-1133
Phone (708) 456-7787

National Provider Directory

National Provider Directory

Locations

7603 North Ave
River Forest, IL 60305
Phone (708) 419-3135

Practitioners & affiliated clinicians

Practitioners 10

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1700959723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051133",
            "telephone_number": "708-456-7787",
            "fax_number": "708-689-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051133",
            "telephone_number": "708-456-7787",
            "fax_number": "708-689-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMEO ENDODONTICS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "MUNARETTO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-456-7787",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "21-001024",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "21-001876",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "21-002071",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "21-002464",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "21-001106",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "21-002519",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "21-001023",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "21-002515",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 2, 2016; 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.