Organization Active NPI

Jerome V. Pisano, D.D.S.,M.S.,P.C.

  • Endodontics
  • Schaumburg, IL
National Provider Identifier
1912074980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
JEROME V. PISANO, D.D.S.,M.S.,P.C.
Practice address
1701 E Woodfield Rd
Suite 520
Schaumburg, IL 60173-5905
Phone
(847) 605-8880
Fax
(847) 605-8901
NPI assigned
Nov 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerome Victor Pisano, D.D.S.,M.S.NPI 1962578138
Title
President
Phone
(847) 605-8880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X IL Primary

Addresses

Primary practice location

1701 E Woodfield Rd
Suite 520
Schaumburg, IL 60173-5905

Mailing address

1701 E Woodfield Rd
Suite 520
Schaumburg, IL 60173-5905
Phone (847) 605-8880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912074980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD RD",
            "address_2": "SUITE 520",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735905",
            "telephone_number": "847-605-8880",
            "fax_number": "847-605-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD RD",
            "address_2": "SUITE 520",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735905",
            "telephone_number": "847-605-8880",
            "fax_number": "847-605-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME V. PISANO, D.D.S.,M.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PISANO",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-605-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, 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.

Verify at the official NPI Registry.