DR. ROBERT THOMAS MISERENDINO (NPI# 1134118110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134118110 |
| Entity Type | Individual |
| Full Name | DR. ROBERT THOMAS MISERENDINO |
| Credential | D.D.S. |
| Practice Address |
8535 W 79th St Justice IL 60458-2281 |
| Practice Telephone | 7084587552 |
| Mailing Telephone | 7084587552 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2009-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019015140 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1002995 | 05 |
| Street Address |
8535 W 79TH ST |
| City | JUSTICE |
| State | IL |
| Zip Code | 60458-2281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316495963 | Madhavi Gadde Dmd Ltd | Dentist | 8535 W 79th St, Justice, IL 60458-2281 | 2016-09-12 |
| 1811371347 | Madhavi Gadde | Dentist | 8535 W 79th St, Justice, IL 60458-2281 | 2015-07-14 |
| 1457583536 | Robert T Miserendino Dds Ltd | Clinic/Center | 8535 W 79th St, Justice, IL 60458-2281 | 2009-08-21 |
| 1023124930 | Samuel Cube Fernando | Internal Medicine | 8535 W 79th St, Justice, IL 60458-2281 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700303450 | Anne Wildman | Social Worker | 8641 W 75th St, Justice, IL 60458 | 2017-08-24 |
| 1932450558 | Caring Hands Health Care Agency | Nurse's Aide | 8761 W. 85th Street, Apt 205 Bldg 17, Justice, IL 60458 | 2012-09-21 |
| 1700902681 | Moira Josephine O'connell | Physical Therapy Assistant | 9050 W.81st Street, Justice, IL 60458 | 2007-03-22 |
| 1497889687 | Indian Springs Sch Dist 109 | Clinic/Center | 7540 South 86th Ave, Justice, IL 60458 | 2007-03-16 |
| 1467429233 | Willow Springs Surgery Center, Ltd | Clinic/Center | 9050 W. 81st Street, Justice, IL 60458 | 2006-03-01 |
| 1750944591 | Melissa Maturo | Speech-Language Pathologist | 8641 W 75th St, Justice, IL 60458-1114 | 2019-04-17 |
| 1235605692 | Patrice Leann Mahoney | Speech-Language Pathologist | 8641 W 75th St, Justice, IL 60458-1114 | 2018-10-23 |
| 1417474081 | Jamie Zimmer | Speech-Language Pathologist | 8641 W 75th St, Justice, IL 60458-1114 | 2017-08-24 |
| 1366552408 | Gregory Paul Schubert | Dentist | 7756 Archer Rd, Justice, IL 60458-1146 | 2006-08-30 |
| 1063682714 | Gregory P Schubert Dds Ltd | Dentist | 7756 Archer Rd, Justice, IL 60458-1146 | 2008-03-10 |
| Find all providers in zip 60458 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134253107 | Roger Edwin Sienkiewicz | Dentist | 8021 W 79th St, Justice, IL 60458-1607 | 2007-03-14 |
| 1366552408 | Gregory Paul Schubert | Dentist | 7756 Archer Rd, Justice, IL 60458-1146 | 2006-08-30 |
| 1811371347 | Madhavi Gadde | Dentist | 8535 W 79th St, Justice, IL 60458-2281 | 2015-07-14 |
| 1063682714 | Gregory P Schubert Dds Ltd | Dentist | 7756 Archer Rd, Justice, IL 60458-1146 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.