Laith Victor, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.034154 Issued in IL

Practice address

4450 N Harlem Ave
Norridge, IL 60706-4745

Phone

(708) 402-9135

NPI assigned

May 23, 2023

Last updated

May 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Dentist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sigma Health PCGroup PAC ID 2961305693, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sigma Health PC

  • Neurology Physician
  • Orland Park, IL
  • NPI 1720035843
  Medicare reassignment Care Compare group NPD
• Associates in Sleep Medicine LLC

  dba The Center for Sleep Medicine

  • Neurology Physician
  • Orland Park, IL
  • NPI 1205883758
  NPD (past)

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1912699471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427290",
            "telephone_number": "248-953-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 N HARLEM AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607064745",
            "telephone_number": "708-402-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "LAITH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.034154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Trevino, PHARMD
• Tripledoc Corp
• Universum Care LLC
• Lisa Vasquez
• Venus Home Health, Inc. (Excell Home Health Plus)
• Visionworks, Inc (Visionworks)
• Vitacare Services, LLC (VitaCare Home Services)
• Rosemary Volpe, DPM
• Agnieszka Walczak
• Walgreen Co (Walgreens #05962)

• Dentist in Norridge, IL
• Providers in Norridge, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.