DR. JOHN PHILLIP LAVIERI (NPI# 1467546689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467546689 |
| Entity Type | Individual |
| Full Name | DR. JOHN PHILLIP LAVIERI |
| Other Name | DR. JOHN PHILLIP LAVIERI JR. |
| Credential | DDS |
| Practice Address |
206 Marquette Street Suite 311 La Salle IL 61301-2483 |
| Practice Telephone | 8152241988 |
| Practice Fax Number | 8152243220 |
| Mailing Telephone | 8152241988 |
| Mailing Fax Number | 8152243220 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
IL | Dental Providers | |
| N | 204E00000X | Oral & Maxillofacial Surgery | IL | Allopathic & Osteopathic Physicians |
| Street Address |
206 MARQUETTE STREET SUITE 311 |
| City | LA SALLE |
| State | IL |
| Zip Code | 61301-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962598706 | Edward J Monroe | Dentist | 206 Marquette Street, Suite 310, La Salle, IL 61301 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598912453 | Matthew V Hartman | Dentist | 941 First St, La Salle, IL 61301 | 2008-08-22 |
| 1164501078 | Pamela F Wolf | Counselor | 146 Gooding Street, La Salle, IL 61301 | 2006-11-02 |
| 1265514343 | Rose Mary Schaumberg | Nurse Practitioner | 2970 Chartres Street, Lasalle, IL 61301 | 2006-10-19 |
| 1922016849 | Mary Therese Petrella | Nurse Practitioner | 2970 Chartres, Hygienic Institute Community Health Clinic, La Salle, IL 61301 | 2006-08-04 |
| 1073527461 | William L Judge | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2006-07-28 |
| 1124044318 | North Central Behavioral Health Systems, Inc | Clinic/Center | 2960 Chartres St., Lasalle, IL 61301 | 2006-07-14 |
| 1962445247 | William Michael White | Dentist | 225 Gooding St, Suite 1, La Salle, IL 61301 | 2006-06-14 |
| 1730629429 | Liberty Kathleen Grzybowski | Social Worker | 2960 Chartres St., La Salle, IL 61301 | 2017-03-01 |
| 1619267135 | Gergovich Family Chiropractic, LLC. | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2011-04-18 |
| 1659538270 | Edward J Fesco Md Sc | Surgery | 206 Marquette St, Room 206, Lasalle, IL 61301 | 2008-05-21 |
| Find all providers in zip 61301 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255986576 | Othman Rezki | Dentist | 1900 W Polk St # 611, Chicago, IL 60612-3723 | 2019-08-04 |
| 1215410584 | David Peterson | Dentist | 1619 Brandywine Ln, Dixon, IL 61021-8757 | 2018-09-12 |
| 1952887374 | Winnebago Braces, LLC. | Dentist | 555 N Court St Ste 110, Rockford, IL 61103-6898 | 2018-07-18 |
| 1093232951 | Robert C. Bosack, Dds & Associates, Ltd | Dentist | 16011 108th Ave Ste A, Orland Park, IL 60467-8787 | 2017-08-23 |
| 1790146132 | Family Millennium Dentistry, Inc. | Dentist | 1342 W Randolph St, Chicago, IL 60607-1522 | 2016-03-13 |
| 1770962375 | Eunsu Jung | Dentist | 1902 N Prospect Ave Ste 1, Champaign, IL 61822-1411 | 2015-05-28 |
| 1811374945 | Alexandria Hawkins | Dentist | 6050 Brynwood Dr Ste 102, Rockford, IL 61114-6579 | 2015-04-27 |
| 1043607872 | Alissa Nicole Pullos | Dentist | 105 E 1st St Ste 103, Hinsdale, IL 60521 | 2015-04-20 |
| 1538592654 | Matthew Seena Hamedani | Dentist | 3116 Oak Park Ave, Berwyn, IL 60402 | 2013-08-13 |
| 1578907689 | M Timothy Murphy | Dentist | 500 Davis St Ste 509, Evanston, IL 60201-4621 | 2013-04-18 |
| 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.