Dr. Rendon Dental Services P C

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. RENDON DENTAL SERVICES P C

Practice address

3354 W 63Rd St
Chicago, IL 60629-3317

Phone

(773) 925-4970

Fax

(630) 449-4713

NPI assigned

Aug 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Victor H. Rendon Jr., DDS

Title

Ceo/Dentist

Phone

(773) 925-4970

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Victor Hugo Rendon Jr., DDS

  • Dentist
  • Chicago, IL
  • NPI 1891932505
  NPD
• Victor Hugo Rendon, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1568451292
  NPD (past)

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1811720840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3354 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293317",
            "telephone_number": "773-925-4970",
            "fax_number": "630-449-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293317",
            "telephone_number": "773-925-4970",
            "fax_number": "630-449-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RENDON DENTAL SERVICES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO/DENTIST",
        "authorized_official_telephone_number": "773-925-4970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Nicholas J. Sotiros Jr DDS LTD
• Dr. Peaches PLLC
• Dr. Pinit Chiranand MD
• Dr. Rachel Port LLC
• Dr. Ramy Bahu, DDS Aesthetic & Reconstructive Dental Associates
• Dr. Samantha Gehr, PLLC
• Dr. Sarah Gebhardt Psychology Services PLLC
• Dr. Solis Therapy & Consulting, PLLC
• Dr. Sonia Rubens LLC
• Dr. Soto-Nevarez Psychological Services and Consultation, PLLC

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.