D. Mike Cvetkovic, D.D.S., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019019648 Issued in IL

Legal business name

D. MIKE CVETKOVIC, D.D.S., P.C.

Practice address

6686 Joliet Rd
Countryside, IL 60525-4575

Phone

(708) 783-1100

Fax

(708) 783-1101

NPI assigned

May 25, 2014

Last updated

May 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

D. Mike Cvetkovic, D.D.S.

Title

Owner

Phone

(708) 783-1100

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Mike Cvetkovic, D.D.S.

  • General Practice Dentistry
  • Indian Head Park, IL
  • NPI 1114130051
  NPD (past)

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

{
    "created_epoch": "1400976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400976000000",
    "number": "1942612965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6686 JOLIET RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605254575",
            "telephone_number": "708-783-1100",
            "fax_number": "708-783-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6686 JOLIET RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605254575",
            "telephone_number": "708-783-1100",
            "fax_number": "708-783-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. MIKE CVETKOVIC, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-25",
        "last_updated": "2014-05-25",
        "status": "A",
        "authorized_official_last_name": "CVETKOVIC",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-783-1100",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019019648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy M. Cranny, P.T.
• Anthony Crisanti
• Catherine Anne Crotty
• Annalyn Cuarteros
• Daniel Curry
• Jessica Davit, SLP
• Dental Professionals of Illinois, P.C (Countryside Dental Group)
• Sharon Dindial, PHARMD
• Preslava Pepova Dotcheva, RPH
• Early Autism Services, LLC

• Dental Clinic/Center in Countryside, IL
• Providers in Countryside, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2014; 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.