Mital Spatz DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019028295 Issued in IL

Legal business name

MITAL SPATZ DDS PC

Practice address

1474 W Foster Ave
1E
Chicago, IL 60640-2145

Phone

(773) 908-0482

NPI assigned

Jun 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mital Spatz, DDS

Title

Dentist

Phone

(773) 908-0482

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1801159371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 W FOSTER AVE",
            "address_2": "1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402145",
            "telephone_number": "773-908-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 W FOSTER AVE",
            "address_2": "1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402145",
            "telephone_number": "773-908-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITAL SPATZ DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "SPATZ",
        "authorized_official_first_name": "MITAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-908-0482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph R. Misulonas, MD
• Paulina Anna Miszczak, M.A., NCC
• Bernadette Miszczyszyn, PA-C
• Bogusia Miszczyszyn
• Ryan Bernard Mitacek, MD
• Rohan Mital, MD
• Michael Florentino Mitarotondo, P.T.A.
• Krista Joanne Mitch, FNP
• Mitchell Foot & Ankle PC
• Mitchell Goldflies MD SC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.