Tooth Fairy World PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

TOOTH FAIRY WORLD PC

Practice address

2069 North Clybourn Avenue
Chicago, IL 60614

Phone

(773) 327-3331

Fax

(773) 868-6453

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Marylene Vitiello, DDS DENTISTNPI 1538558408

Title

President of Corporation

Phone

(773) 327-3331

Specialties & licenses 1

Addresses

Tax ID family

Tooth Fairy World PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tooth Fairy World PC

  • Pediatric Dentistry
  • Chicago, IL
  • NPI 1922175223
  NPD tax ID

Locations

Practitioners 1

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

• Marylene Vitiello, DDS

  • Pediatric Dentistry
  • Chicago, IL
  • NPI 1538558408
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811055072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 N CLYBOURN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "773-327-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2069 NORTH CLYBOURN AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "773-327-3331",
            "fax_number": "773-868-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH FAIRY WORLD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VITIELLO",
        "authorized_official_first_name": "MARYLENE",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "773-327-3331",
        "authorized_official_credential": "DDS DENTIST"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prasuna Toomganti, M.D
• Amandeep Kaur Toor, MD
• Jasmine Toor
• Manvinder Toor, MD
• Tooth Fairy Dental PC
• Tooth Fairy World PC
• Top Line Health Services LLC
• Alberto Topacio, DDS
• Topcare Homehealth Service Inc
• Jordan L Topel, M.D.

• Pediatric Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.