Rose M. Vivirito, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-021799 Issued in IL

Practice address

2210 Dean St
Ste J1
St Charles, IL 60175

Phone

(630) 377-9007

Fax

(630) 377-9112

NPI assigned

Aug 26, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1871740472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST",
            "address_2": "STE J1",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "60175",
            "telephone_number": "630-377-9007",
            "fax_number": "630-377-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST",
            "address_2": "STE J1",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "60175",
            "telephone_number": "630-377-9007",
            "fax_number": "630-377-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVIRITO",
        "first_name": "ROSE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-021799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Vidal
• Nikko Gian Viejon
• Rosemary Villa, DDS, MAGD, FICD
• Vitahealth Services LLC (Interim HealthCare of Kane County)
• Cosmo August Vivirito, DMD
• Domenique Colomba Voelsch, DC
• Alina Maria Volodka, PA-C
• Faith H Volz, CADC
• Ellena Kontos Vranas, DDS
• Chaka Wade-Cuadra

• General Practice Dentistry in St Charles, IL
• Providers in St Charles, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.