Active NPI
Stoffel and Tomazin Dental Associates, LTD
- Dental Clinic/Center
- Cicero, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- STOFFEL AND TOMAZIN DENTAL ASSOCIATES, LTD
- Practice address
- 5718 W 35TH St
Cicero, IL 60804-4222 - Phone
- (708) 863-6363
- NPI assigned
- Aug 20, 2020
- Last updated
- Aug 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence Tomazin Jr., DDS
- Title
- VP
- Phone
- (630) 243-6622
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
5718 W 35TH St
Cicero, IL 60804-4222
Mailing address
5718 W 35TH St
Cicero, IL 60804-4222
Phone (708) 863-6363
Other practice location 1
12371 Derby Rd Unit C
Lemont, IL 60439-9701
Phone (630) 243-6622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417029372 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Stoffel and Tomazin Dental Associates LTD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Lemont, IL
- NPI 1417029372
Locations
5718 W 35th St
Cicero, IL 60804
Phone (708) 863-6363
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dentist
- Lemont, IL
- NPI 1356413116
-
- Dentist
- Lemont, IL
- NPI 1477625242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597881600000",
"number": "1760094718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5718 W 35TH ST",
"city": "CICERO",
"state": "IL",
"postal_code": "608044222",
"telephone_number": "708-863-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5718 W 35TH ST",
"city": "CICERO",
"state": "IL",
"postal_code": "608044222",
"telephone_number": "708-863-6363"
}
],
"practiceLocations": [
{
"address_1": "12371 Derby Rd Unit C",
"address_purpose": "LOCATION",
"city": "Lemont",
"state": "IL",
"postal_code": "604399701",
"country_code": "US",
"telephone_number": "630-243-6622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STOFFEL AND TOMAZIN DENTAL ASSOCIATES, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A",
"authorized_official_last_name": "TOMAZIN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "630-243-6622",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417029372",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.