Active NPI
Oral Kare Network Loc #2 LTD
- Dentist
- Cicero, IL
National Provider Identifier
1902897481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- ORAL KARE NETWORK LOC #2 LTD
- Practice address
- 5907 West 35TH St
Cicero, IL 60804 - Phone
- (708) 656-2441
- Fax
- (708) 656-2515
- NPI assigned
- Nov 2, 2005
- 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
- Mrs. Marleen Sevenino
- Title
- Office Manager
- Phone
- (708) 656-2441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
5907 West 35TH St
Cicero, IL 60804
Mailing address
5907 West 35TH St
Cicero, IL 60804
Phone (708) 656-2441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1004943 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Oral Kare Network Loc 2 LTD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Cicero, IL
- NPI 1386650455
Locations
5907 W 35th St
Cicero, IL 60804
Phone (708) 656-2441
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Cicero, IL
- NPI 1447429394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902897481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5907 WEST 35TH ST",
"city": "CICERO",
"state": "IL",
"postal_code": "60804",
"telephone_number": "708-656-2441",
"fax_number": "708-656-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5907 WEST 35TH ST",
"city": "CICERO",
"state": "IL",
"postal_code": "60804",
"telephone_number": "708-656-2441",
"fax_number": "708-656-2515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORAL KARE NETWORK LOC #2 LTD",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SEVENINO",
"authorized_official_first_name": "MARLEEN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "708-656-2441",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1004943",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cicero, IL
Sources for this page
- 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.