NPIMap

Organization Active NPI

Patrica Stifter D.D.S.

  • Dental Clinic/Center
  • Palos Park, IL
National Provider Identifier
1811387764
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019019229 Issued in IL
Legal business name
PATRICA STIFTER D.D.S.
Practice address
8100 W 119TH St
Suite 300
Palos Park, IL 60464-3041
Phone
(708) 361-0662
Fax
(708) 361-0662
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Dr. Patricia Stifter, D.D.S.
Title
Dentist
Phone
(708) 361-0662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019019229 IL Primary

Addresses

Primary practice location

8100 W 119TH St
Suite 300
Palos Park, IL 60464-3041

Mailing address

8100 W 119TH St
Suite 300
Palos Park, IL 60464-3041
Phone (708) 361-0662

National Provider Directory

National Provider Directory

Locations

8100 W 119th St
Ste 300
Palos Park, IL 60464
Phone (708) 361-0662

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1811387764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 W 119TH ST",
            "address_2": "SUITE 300",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643041",
            "telephone_number": "708-361-0662",
            "fax_number": "708-361-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 W 119TH ST",
            "address_2": "SUITE 300",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643041",
            "telephone_number": "708-361-0662",
            "fax_number": "708-361-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICA STIFTER D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "STIFTER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-361-0662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019019229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.