Active NPI
Richard J Pasiewicz DDS LLC
- Endodontics
- Palos Heights, IL
National Provider Identifier
1861989287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 021.002593
- Legal business name
- RICHARD J PASIEWICZ DDS LLC
- Practice address
- 7600 W College Dr Ste 17
Palos Heights, IL 60463-1066 - Phone
- (708) 361-1770
- NPI assigned
- Apr 20, 2018
- 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. Richard J Pasiewicz, DDS
- Title
- Owner
- Phone
- (847) 721-9945
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 021.002593 | IL | Primary |
Addresses
Primary practice location
7600 W College Dr Ste 17
Palos Heights, IL 60463-1066
Mailing address
1413 N Leavitt St
Chicago, IL 60622-1816
Phone (847) 721-9945
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043506934 | Other | INDIVIDUAL NPI | |
| 021.002593 | Other | IL | LICENSE NUMBER |
| 019.028655 | Other | IL | LICENSE NUMBER |
National Provider Directory
National Provider DirectoryLocations
7600 W College Dr
Ste 17
Palos Heights, IL 60463
Phone (319) 361-5224
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Palos Heights, IL
- NPI 1699028860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524182400000",
"number": "1861989287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 N LEAVITT ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606221816",
"telephone_number": "847-721-9945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 W COLLEGE DR STE 17",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631066",
"telephone_number": "708-361-1770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD J PASIEWICZ DDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-20",
"last_updated": "2018-04-20",
"status": "A",
"authorized_official_last_name": "PASIEWICZ",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-721-9945",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "IL",
"license": "021.002593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1043506934",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "021.002593",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "019.028655",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.