NPIMap

Organization Active NPI

Lawn Dental Center

  • Dentist
  • Chicago, IL
National Provider Identifier
1790752038
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019019895 Issued in IL
Legal business name
LAWN DENTAL CENTER
Practice address
3113 South Pulaski
Chicago, IL 60623
Phone
(773) 523-0700
Fax
(773) 523-0702
NPI assigned
Mar 7, 2006
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Charles Olono, DDS
Title
Co Owner Dentist
Phone
(773) 523-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019019895 IL Primary

Addresses

Primary practice location

3113 South Pulaski
Chicago, IL 60623

Mailing address

3113 South Pulaski
Chicago, IL 60623
Phone (773) 523-0700

National Provider Directory

National Provider Directory

Locations

3113 S Pulaski Rd
Chicago, IL 60623
Phone (773) 523-0700

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1790752038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 SOUTH PULASKI",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60623",
            "telephone_number": "773-523-0700",
            "fax_number": "773-523-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 SOUTH PULASKI",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60623",
            "telephone_number": "773-523-0700",
            "fax_number": "773-523-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWN DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "OLONO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CO OWNER DENTIST",
        "authorized_official_telephone_number": "773-523-0700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019019895",
            "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 May 5, 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.