NPIMap

Organization Active NPI

Mark V. Valentinas DDS,PC

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1932267101
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.017898 Issued in IL
Legal business name
MARK V. VALENTINAS DDS,PC
Practice address
1001 E Chicago Ave
#143
Naperville, IL 60540-5526
Phone
(630) 369-0111
Fax
(630) 369-0378
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Mark Victor Valentinas, DDSNPI 1205099454
Title
President
Phone
(630) 369-0111

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019.017898 IL Primary

Addresses

Primary practice location

1001 E Chicago Ave
#143
Naperville, IL 60540-5526

Mailing address

1001 E Chicago Ave
#143
Naperville, IL 60540-5526
Phone (630) 369-0111

National Provider Directory

National Provider Directory

Locations

1001 E Chicago Ave
Ste 143
Naperville, IL 60540
Phone (630) 369-0111

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1932267101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E CHICAGO AVE",
            "address_2": "#143",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405526",
            "telephone_number": "630-369-0111",
            "fax_number": "630-369-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E CHICAGO AVE",
            "address_2": "#143",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405526",
            "telephone_number": "630-369-0111",
            "fax_number": "630-369-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK V. VALENTINAS DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "VALENTINAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-369-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.017898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.