Southwest Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

02101135 Issued in IL

Legal business name

SOUTHWEST ENDODONTICS

Practice address

16055 108TH Ave
Ste H
Orland Park, IL 60467-5347

Phone

(708) 460-9191

Fax

(708) 460-9407

NPI assigned

Jan 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Vladimir Tismensky, DDSNPI 1336195411

Title

President

Phone

(708) 576-8442

Specialties & licenses 1

Addresses

Other names 1

• Orland Endodontics Other name

Locations

Practitioners 2

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

• Vladimir Tismensky, D.D.S.

  • Endodontics
  • Orland Park, IL
  • NPI 1336195411
  NPD Authorized official
• Jeffrey Howard Hopkins, DDS

  • Endodontics
  • Orland Park, IL
  • NPI 1962419333
  NPD (past)

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1982934972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 108TH AVE",
            "address_2": "STE H",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675347",
            "telephone_number": "708-460-9191",
            "fax_number": "709-460-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 108TH AVE",
            "address_2": "STE H",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675347",
            "telephone_number": "708-460-9191",
            "fax_number": "708-460-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "TISMENSKY",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-576-8442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "02101135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orland Endodontics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Orland Endodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• South Campus Partners, Inc.
• South Chicago Surgical Solutions
• South Suburban Chiropractic Clinic PC
• Southwest Dental Group
• Southwest Dermatology, PC
• Southwest Foot and Ankle, LLC
• Southwest Head & Neck Surgical Assoc SC
• Southwest Nephrology Associates, S.C.
• Southwest Psychiatric Services, SC
• Southwest Surgical Assistants

• All providers in Orland Park, IL
• Endodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.