NPIMap

Organization Active NPI

Claudia Osorio DDS PC

Doing business as Family Medical Dental Center

  • General Practice Dentistry
  • Berwyn, IL
National Provider Identifier
1811263205
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024590 Issued in IL
Legal business name
CLAUDIA OSORIO DDS PC
Doing business as
Family Medical Dental Center
Practice address
6721 Cermak Rd
Berwyn, IL 60402-2216
Phone
(708) 749-0277
NPI assigned
Mar 29, 2012
Last updated
Mar 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Mrs. Claudia Osorio, DDSNPI 1699785022
Title
Owner
Phone
(708) 749-0277

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019024590 IL Primary

Addresses

Primary practice location

6721 Cermak Rd
Berwyn, IL 60402-2216

Mailing address

6721 Cermak Rd
Berwyn, IL 60402-2216
Phone (708) 749-0277

Other names 1

  • Family Medical Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

6721 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-0277

Practitioners & affiliated clinicians

Practitioners 3

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": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1811263205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022216",
            "telephone_number": "708-749-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6721 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022216",
            "telephone_number": "708-749-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDIA OSORIO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "OSORIO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-749-0277",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.