Individual provider Active NPI

Viviana R Duce, D.D.S.

  • Dentist
  • Wheeling, IL
National Provider Identifier
1811303100
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019029900 Issued in IL
Practice address
542 W Dundee Rd
Suite B
Wheeling, IL 60090-3227
Phone
(847) 520-7484
NPI assigned
Jul 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019029900 IL Primary

Addresses

Primary practice location

542 W Dundee Rd
Suite B
Wheeling, IL 60090-3227

Mailing address

646 Cross Creek Dr W
A1
Roselle, IL 60172-3688
Phone (708) 990-3257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150629002884 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2961714274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019029900ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1811303100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 CROSS CREEK DR W",
            "address_2": "A1",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723688",
            "telephone_number": "708-990-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 W DUNDEE RD",
            "address_2": "SUITE B",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903227",
            "telephone_number": "847-520-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCE",
        "first_name": "VIVIANA",
        "middle_name": "R",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

Verify at the official NPI Registry.