Organization Active NPI

Thomas J. Delacey, D.D.S.

  • Dentist
  • Warrenville, IL
National Provider Identifier
1801260310
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019020250 Issued in IL
Legal business name
THOMAS J. DELACEY, D.D.S.
Practice address
28377 Davis Pkwy
Suite Number 609
Warrenville, IL 60555-3031
Phone
(630) 836-8880
NPI assigned
Nov 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Dr. Thomas J Delacey, D.D.S.NPI 1427272905
Title
Owner/Dentist
Phone
(630) 836-8880

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019020250 IL Primary

Addresses

Primary practice location

28377 Davis Pkwy
Suite Number 609
Warrenville, IL 60555-3031

Mailing address

28377 Davis Pkwy
Suite 609
Warrenville, IL 60555-3031
Phone (630) 836-8880

National Provider Directory

National Provider Directory

Locations

28377 Davis Pkwy
Ste 609
Warrenville, IL 60555
Phone (630) 836-8880

Practitioners & affiliated clinicians

Practitioners 4

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": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1801260310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28377 DAVIS PKWY",
            "address_2": "SUITE 609",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553031",
            "telephone_number": "630-836-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28377 DAVIS PKWY",
            "address_2": "SUITE NUMBER 609",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553031",
            "telephone_number": "630-836-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. DELACEY, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "DELACEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "630-836-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.