Jose A Vazquez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019023326 Issued in IL

Practice address

7107 W Belmont Ave
Suite# 1
Chicago, IL 60634-4688

Phone

(773) 889-6661

Fax

(773) 889-6663

NPI assigned

Nov 2, 2006

Last updated

May 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Vazquez Dental P.C.

  • Dentist
  • Chicago, IL
  • NPI 1306925334
  NPD (past) Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1922187046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 RAND RD",
            "address_2": "SUITE# 1",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163551",
            "telephone_number": "847-813-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 W BELMONT AVE",
            "address_2": "SUITE# 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344688",
            "telephone_number": "773-889-6661",
            "fax_number": "773-889-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Vazquez, PHARMD
• Heather Vazquez
• Jadhai Vazquez
• Jennifer Vazquez
• John E Vazquez, M.D.
• Karina Vazquez, DMD
• Kimberly M Vazquez
• Krystal Vazquez
• Larry Vazquez, MD
• Leticia Vazquez, MD

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.