NPIMap

Organization Active NPI

Steven B. Raphael, D.D.S., P.C.

  • Endodontics
  • Chicago, IL
National Provider Identifier
1720366594
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
019.028222 Issued in IL
Legal business name
STEVEN B. RAPHAEL, D.D.S., P.C.
Practice address
5780 N Lincoln Ave
Chicago, IL 60659-4721
Phone
(773) 769-1754
NPI assigned
Jul 28, 2011
Last updated
Jul 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Authorized official

Name
Dr. Steven B. Raphael, D.D.S.NPI 1366645657
Title
President
Phone
(913) 723-1313

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
Endodontics 1223E0200X 019.028222 IL Primary

Addresses

Primary practice location

5780 N Lincoln Ave
Chicago, IL 60659-4721

Mailing address

360 E South Water St
#4102
Chicago, IL 60601-4028
Phone (913) 723-1313

National Provider Directory

National Provider Directory

Locations

5780 N Lincoln Ave
Chicago, IL 60659
Phone (773) 769-1754

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": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1720366594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E SOUTH WATER ST",
            "address_2": "#4102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014028",
            "telephone_number": "913-723-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594721",
            "telephone_number": "773-769-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN B. RAPHAEL, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "RAPHAEL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-723-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "019.028222",
            "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 Jul 28, 2011; 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.