Peter a Lo Destro DDS PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PETER A LO DESTRO DDS PC

Practice address

4230 Westbrook Dr
Aurora, IL 60504-4125

Phone

(630) 898-3100

Fax

(630) 898-1164

NPI assigned

Oct 4, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter A Lo Destro, DDSNPI 1336355197

Title

Dentist

Phone

(630) 898-3100

Specialties & licenses 2

Addresses

Locations

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.

• Peter A. Lodestro, D.D.S.

  • Dentist
  • Aurora, IL
  • NPI 1336355197
  Authorized official Same address or phone

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760479778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 WESTBROOK DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044125",
            "telephone_number": "630-898-3100",
            "fax_number": "630-898-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 WESTBROOK DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044125",
            "telephone_number": "630-898-3100",
            "fax_number": "630-898-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A LO DESTRO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LO DESTRO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-898-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Y Perkins, DT
• William L Perkinson, DDS
• Jayva Lonyae Perrin
• Devin Perucco
• Kayla Marie Pestel
• Jacob Alexander Peters
• Jori Peters
• Kevin Peters, FNP
• Sandra Mary Bednarz Petersen, LCPC
• David Petersmark, MSW, LCSW

• Dentist in Aurora, IL
• Providers in Aurora, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.