Active NPI
Thomas W Bieber, DDS
- Dentist
- Elmwood Park, IL
National Provider Identifier
1962667063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019-021290
- Practice address
- 7544 W North Ave
Suite 5
Elmwood Park, IL 60707-4166 - Phone
- (708) 456-8860
- Fax
- (708) 456-9585
- NPI assigned
- Jul 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019-021290 | IL | Primary |
Addresses
Primary practice location
7544 W North Ave
Suite 5
Elmwood Park, IL 60707-4166
Mailing address
7544 W North Ave
Suite 5
Elmwood Park, IL 60707-4166
Phone (708) 456-8860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-021290 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1962667063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7544 W NORTH AVE",
"address_2": "SUITE 5",
"city": "ELMWOOD PARK",
"state": "IL",
"postal_code": "607074166",
"telephone_number": "708-456-8860",
"fax_number": "708-456-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7544 W NORTH AVE",
"address_2": "SUITE 5",
"city": "ELMWOOD PARK",
"state": "IL",
"postal_code": "607074166",
"telephone_number": "708-456-8860",
"fax_number": "708-456-9585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIEBER",
"first_name": "THOMAS",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-28",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-021290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmwood Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.