Active NPI
Robert Thomas Corte, DDS
- Dentist
- La Grange, IL
National Provider Identifier
1790857076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 3 S Waiola Ave
La Grange, IL 60525-2255 - Phone
- (708) 354-1003
- NPI assigned
- Nov 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary | |
| Dentist | 122300000X | 5592 | OK | |
| Dentist | 122300000X | 3283-015 | WI | |
| Dentist | 122300000X | 2002005743 | MO | |
| Dentist | 122300000X | 1926 | ND |
Addresses
Primary practice location
3 S Waiola Ave
La Grange, IL 60525-2255
Mailing address
329 Dover Ave
La Grange Park, IL 60526-1704
Phone (708) 482-0435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019016837 | IL | MD | Dentist |
| 2002005743 | MO | MD | Dentist |
| 5592 | OK | MD | Dentist |
| 3283-015 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790857076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 DOVER AVE",
"city": "LA GRANGE PARK",
"state": "IL",
"postal_code": "605261704",
"telephone_number": "708-482-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 S WAIOLA AVE",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605252255",
"telephone_number": "708-354-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTE",
"first_name": "ROBERT",
"middle_name": "THOMAS",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5592",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "3283-015",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2002005743",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ND",
"license": "1926",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grange, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.