D2 Dental of Illinois, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

D2 DENTAL OF ILLINOIS, P.C.

Practice address

712 E 87TH St
Suite D
Chicago, IL 60619-6246

Phone

(708) 386-4800

NPI assigned

Jul 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jason M Grinter

Title

President

Phone

(773) 369-5428

Specialties & licenses 1

Addresses

Other names 1

• Destiny Dental Doing business as

Tax ID family

D2 Dental of Illinois PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• D2 Dental of Illinois, P.C.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1255774865
  NPD tax ID

Locations

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1821301102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE",
            "address_2": "SUITE 200",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E 87TH ST",
            "address_2": "SUITE D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196246",
            "telephone_number": "708-386-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D2 DENTAL OF ILLINOIS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "GRINTER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-369-5428",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Destiny Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• D2 Dental at Oak Street, P.C.
• D2 Dental at Oak Street, P.C.
• D2 Dental at Oak Street, P.C.
• D2 Dental at Oak Street, P.C.
• D2 Dental of Illinois, P.C.
• D2 Dental of Lansing, P.C.
• Carla Da Cunha
• Carlos Rafael Da Fonseca, M.D
• Carla Luisa Da Goia Pinto, MBBS
• Da Helper Homecare LLC

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.