NPIMap

Claudia Osorio DDS PC

Organization Active NPI General Practice Dentistry · Berwyn, IL

NPI 1811263205 · NPPES record last updated Mar 29, 2012

Key facts

NPI
1811263205
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
019024590 (IL)
Legal business name
CLAUDIA OSORIO DDS PC
Practice address
6721 Cermak Rd
Berwyn, IL 60402-2216
Phone
(708) 749-0277
NPI assigned
Mar 29, 2012
Organization subpart
No

Authorized official

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

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X 019024590 IL Yes

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

  • Family Medical Dental Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 29, 2012.

{
    "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

All providers in Berwyn, IL · General Practice Dentistry in Illinois

Sources for this page

Verify at the official NPI Registry.