Organization Active NPI

Jairo H Patino DDS PC

  • Exclusive Provider Organization
  • Chicago, IL
National Provider Identifier
1780856757
Registry record updated Mar 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
JAIRO H PATINO DDS PC
Practice address
3190 N Elston Ave
Chicago, IL 60618-5845
Phone
(773) 267-9777
NPI assigned
Mar 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2008

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

Authorized official

Name
Dr. Jairo H Patino, DDSNPI 1174721088
Title
President
Phone
(312) 405-1040

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
Exclusive Provider Organization 302F00000X IL Primary

Addresses

Primary practice location

3190 N Elston Ave
Chicago, IL 60618-5845

Mailing address

1130 S Michigan Ave Apt 1809
Chicago, IL 60605-2319
Phone (312) 405-1040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206835200000",
    "number": "1780856757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 S MICHIGAN AVE APT 1809",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052319",
            "telephone_number": "312-405-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185845",
            "telephone_number": "773-267-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIRO H PATINO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-30",
        "last_updated": "2008-03-30",
        "status": "A",
        "authorized_official_last_name": "PATINO",
        "authorized_official_first_name": "JAIRO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-405-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "IL",
            "license": null,
            "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 Mar 30, 2008; 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.