Active NPI
James a. Grieco D.D.S., PC
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1821148271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JAMES A. GRIECO D.D.S., PC
- Practice address
- 11051 S Fairfield Ave
Chicago, IL 60655-1813 - Phone
- (773) 445-9545
- Fax
- (773) 445-9783
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Antonio Grieco, D.D.S.
- Title
- Owner
- Phone
- (773) 445-9545
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Primary |
Addresses
Primary practice location
11051 S Fairfield Ave
Chicago, IL 60655-1813
Mailing address
11051 S Fairfield Ave
Chicago, IL 60655-1813
Phone (773) 445-9545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Other | IL | SSN |
National Provider Directory
National Provider DirectoryLocations
11051 S Fairfield Ave
Chicago, IL 60655
Phone (773) 445-9545
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1407914807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590019200000",
"number": "1821148271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11051 S FAIRFIELD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606551813",
"telephone_number": "773-445-9545",
"fax_number": "773-445-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11051 S FAIRFIELD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606551813",
"telephone_number": "773-445-9545",
"fax_number": "773-445-9783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES A. GRIECO D.D.S., PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2020-05-21",
"status": "A",
"authorized_official_last_name": "GRIECO",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "ANTONIO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-445-9545",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSN",
"identifier": "$$$$$$$$$",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.