Irving Park Periodontics, LTD.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

021001422 Issued in IL

Legal business name

IRVING PARK PERIODONTICS, LTD.

Practice address

4949 W Irving Park Rd
Ste. D
Chicago, IL 60641-2655

Phone

(773) 794-1332

Fax

(773) 794-1032

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Frederic Schneider Jr., DDSNPI 1790833192

Title

President

Phone

(773) 794-1332

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Thomas F. Schneider Jr., DDS

  • Periodontics
  • Chicago, IL
  • NPI 1790833192
  NPD (past) Authorized official

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1982976643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 W IRVING PARK RD",
            "address_2": "STE. D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412655",
            "telephone_number": "773-794-1332",
            "fax_number": "773-794-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 W IRVING PARK RD",
            "address_2": "STE. D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412655",
            "telephone_number": "773-794-1332",
            "fax_number": "773-794-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING PARK PERIODONTICS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FREDERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-794-1332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021001422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Irvine, LCSW
• Irving Park Dentistry, Inc.
• Irving Park Emergency Physicians LLC
• Irving Park Family Dentist
• Irving Park Living and Rehab Center LLC
• Irving Park Rehabilitation Center SC
• Irving Radiology, Inc
• Irving Urban Development
• Alissa Mariana Irwin, PSYD
• Beth Irwin, MA, LPC

• Periodontics in Chicago, IL
• Providers in Chicago, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.