Ernest Jercinovic D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ERNEST JERCINOVIC D.D.S.

Doing business as

Halsted Street Dental

Practice address

2200 N Halsted St
2ND Floor
Chicago, IL 60614-3625

Phone

(773) 935-4444

Fax

(773) 935-4455

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ernest JercinovicNPI 1902018138

Title

President

Phone

(773) 935-4444

Specialties & licenses 1

Addresses

Other names 1

• HALSTED STREET DENTAL Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ernest Jercinovic, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1902018138
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861604936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N HALSTED ST",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143625",
            "telephone_number": "773-935-4444",
            "fax_number": "773-935-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N HALSTED ST",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143625",
            "telephone_number": "773-935-4444",
            "fax_number": "773-935-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST JERCINOVIC D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JERCINOVIC",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-935-4444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALSTED STREET DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erlinda B. Siwa M.D.; SC
• Amanda Erman, RN, APN
• Ermias Tilahun MD SC (Tilahun & Sirinian Medical Group)
• Melanie Rose Ermler, MD
• Ernest I. Watanabe, O.D. LTD. (Granville Vision Center)
• Ernesto Cabrera MD
• Ernesto J. Villegas MD, SC (ErgoMedica)
• Madison Kang Ernst, MD
• Nyadiew Adida Ernst
• Katherine Elizabeth Ernstrom, LCSW

• 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 Aug 22, 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.

Verify at the official NPI Registry.