Individual provider Active NPI

Patricia Rose Varco-White, DDS

  • General Practice Dentistry
  • Rosemont, IL
National Provider Identifier
1902997604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
10600 W Higgins Rd
Suite 216
Rosemont, IL 60018-3706
Phone
(847) 390-6099
Fax
(847) 390-6165
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

10600 W Higgins Rd
Suite 216
Rosemont, IL 60018-3706

Mailing address

407 N Merrill St
Park Ridge, IL 60068-3401
Phone (847) 518-8478

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
I20170322000385 IL Order and Referring Only - DentistPractitioner - Dentist 2062797632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-020601ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902997604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N MERRILL ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683401",
            "telephone_number": "847-518-8478",
            "fax_number": "847-518-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 W HIGGINS RD",
            "address_2": "SUITE 216",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600183706",
            "telephone_number": "847-390-6099",
            "fax_number": "847-390-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARCO-WHITE",
        "first_name": "PATRICIA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemont, IL

Sources for this page

Verify at the official NPI Registry.