Organization Active NPI

Raymond M.Fiocchi D.D.S. LTD.

  • General Practice Dentistry
  • Highland Park, IL
National Provider Identifier
1942354931
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
060.000133 Issued in IL
Legal business name
RAYMOND M.FIOCCHI D.D.S. LTD.
Practice address
2685 Waukegan Ave
Highland Park, IL 60035-1430
Phone
(847) 432-1111
Fax
(847) 432-3201
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Raymond M. Fiocchi Jr., D.D.S.
Title
President
Phone
(847) 432-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 060.000133 IL Primary

Addresses

Primary practice location

2685 Waukegan Ave
Highland Park, IL 60035-1430

Mailing address

2685 Waukegan Ave
Highland Park, IL 60035-1430
Phone (847) 432-1111

National Provider Directory

National Provider Directory

Locations

2685 Waukegan Ave
Highland Park, IL 60035
Phone (847) 432-1111

Practitioners & affiliated clinicians

Practitioners 2

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1942354931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 WAUKEGAN AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351430",
            "telephone_number": "847-432-1111",
            "fax_number": "847-432-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 WAUKEGAN AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351430",
            "telephone_number": "847-432-1111",
            "fax_number": "847-432-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND M.FIOCCHI D.D.S. LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "FIOCCHI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-432-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "060.000133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.