Organization Active NPI

Aj Trotta DDS & Associates LTD

  • Dentist
  • Chicago, IL
National Provider Identifier
1912278235
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19014696 Issued in IL
Legal business name
AJ TROTTA DDS & ASSOCIATES LTD
Practice address
4224 W Lawrence Ave
Chicago, IL 60630-2729
Phone
(773) 545-2881
Fax
(773) 545-1142
NPI assigned
Jan 18, 2012
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Mrs. Phyllis Trotta
Title
Office Manager
Phone
(773) 545-2881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19014696 IL Primary

Addresses

Primary practice location

4224 W Lawrence Ave
Chicago, IL 60630-2729

Mailing address

4224 W Lawrence Ave
Chicago, IL 60630-2729
Phone (773) 545-2881

National Provider Directory

National Provider Directory

Locations

4224 W Lawrence Ave
Chicago, IL 60630
Phone (773) 545-2881

Practitioners & affiliated clinicians

Practitioners 3

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": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1912278235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302729",
            "telephone_number": "773-545-2881",
            "fax_number": "773-545-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302729",
            "telephone_number": "773-545-2881",
            "fax_number": "773-545-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ TROTTA DDS & ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "TROTTA",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-545-2881",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "19014696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.