DR. PHILIP E FIDEL DDS NPI 1003008459

Dentist (General Practice) in Chicago, IL

NPI 1003008459 Individual Male Dentist General Practice

About PHILIP FIDEL

Philip Fidel is a provider established in Chicago, Illinois and his medical specialization is dentist (general practice) . The NPI number of Philip Fidel is 1003008459 and was assigned on August 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 01922169 (IL). The provider is registered as an individual and his NPI record was last updated 14 years ago.

A dentist like Dr. Philip E Fidel Dds is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Philip Fidel is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003008459

Provider NameDR. PHILIP E FIDEL DDS
Provider Location Address3236 W FULLERTON AVE CHICAGO, IL 60647
Provider Mailing Address3236 W FULLERTON AVE CHICAGO, IL 60647
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date08-09-2007
Last Update Date08-09-2007


Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.01922169
License StateIL
Taxonomy DescriptionA 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.

Business Address

DR. PHILIP E FIDEL DDS
3236 W FULLERTON AVE
CHICAGO, IL
ZIP 60647
Phone: (773) 276-0300
Fax: (773) 252-5994

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Mailing Address

DR. PHILIP E FIDEL DDS
3236 W FULLERTON AVE
CHICAGO, IL
ZIP 60647
Phone: (773) 276-0300
Fax: (773) 252-5994



Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245396126DR. MARCELLA R GUZMAN D.D.S
Individual
Dentist (General Practice)3236 W FULLERTON AVE
CHICAGO, IL 60647
(773) 276-0300
1669734406MARCELLA GUZMAN DDS PC
Organization
Dentist3236 W FULLERTON AVE
CHICAGO, IL 60647
(773) 276-0300
1922317312DR. IRBAD CHOWDHURY D.M.D
Individual
Dentist3236 W FULLERTON AVE
CHICAGO, IL 60647
(773) 276-0300

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.