Martina A. Delaurentis, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

9017 W 151St St
Orland Park, IL 60462-3201

Phone

(708) 403-0071

Fax

(708) 403-2205

NPI assigned

Feb 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 16, 2016 through Aug 16, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750421616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8347 CALLISTA DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238589",
            "telephone_number": "815-464-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 W 151ST ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623201",
            "telephone_number": "708-403-0071",
            "fax_number": "708-403-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAURENTIS",
        "first_name": "MARTINA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Degrazia Cohen
• Julie A Deisinger, PH.D.
• Megan Joy Dejong, M.D.
• Anthony C. Delach, MD
• Gina Delaurentis, LCSW
• Jessica Rae Delgado, APRN
• Delta Lif Inc
• Carol Delucia, BA, MSW, LCSW
• Lisa A Demarco, LCPC
• Shannon Dempsey

• Dentist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.