Individual provider Active NPI

Joseph John Sodini, D.D.S.

  • General Practice Dentistry
  • Skokie, IL
National Provider Identifier
1881763787
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019019627 Issued in IL
Practice address
4923 Oakton St
Skokie, IL 60077-2903
Phone
(847) 676-9292
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019019627 IL Primary

Addresses

Primary practice location

4923 Oakton St
Skokie, IL 60077-2903

Mailing address

1821 W Crescent Ave
Park Ridge, IL 60068-3830
Phone (847) 318-7681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160208001780 IL Order and Referring Only - DentistPractitioner - Dentist 1658675897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1881763787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 W CRESCENT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683830",
            "telephone_number": "847-318-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772903",
            "telephone_number": "847-676-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODINI",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.