Organization Active NPI

City and County Dental, PC

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1780102095
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CITY AND COUNTY DENTAL, PC
Practice address
7108 W Archer Ave
Chicago, IL 60638-2204
Phone
(773) 424-6401
Fax
(888) 389-5750
NPI assigned
Sep 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Liborio Padula
Title
Director
Phone
(773) 424-6401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X IL Primary

Addresses

Primary practice location

7108 W Archer Ave
Chicago, IL 60638-2204

Mailing address

7108 W Archer Ave
Chicago, IL 60638-2204
Phone (773) 424-6401

Other names 1

  • City and County Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780102095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382204",
            "telephone_number": "773-424-6401",
            "fax_number": "888-389-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382204",
            "telephone_number": "773-424-6401",
            "fax_number": "888-389-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY AND COUNTY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PADULA",
        "authorized_official_first_name": "LIBORIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-424-6401",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City and County Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 2022; 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.