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JOSE MANUEL MARISCAL D.D.S.
NPI 1306071295
Dentist - General Practice in Chicago, IL

Active since May 20, 2009PECOS Enrolled
7124 W DIVERSEY AVE, CHICAGO, IL 60707(773) 237-8855 Get Directions Write a Review

NPPES record last updated: May 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jose Manuel Mariscal D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE MANUEL MARISCAL D.D.S. (NPI 1306071295) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.027908) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306071295
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOSE MANUEL MARISCALCredential: D.D.S.
Location Address7124 W DIVERSEY AVEChicago, IL 60707-1601
Mailing Address7124 W Diversey AveChicago, IL 60707-1601 · (773) 237-8855
Phone(773) 237-8855
Sole ProprietorNo
Enumeration DateMay 20, 2009
✔ NPI 1306071295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.027908
Definition
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.
7124 W DIVERSEY AVE, Chicago, IL 60707
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Manuel Mariscal D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN M CARABA DDS
Dentist
7124 W DIVERSEY AVE
CHICAGO, IL 60707
Cook County (773) 237-8855
MS. ZULMA DEJESUS RDH
Dental Hygienist
7124 W DIVERSEY AVE
CHICAGO, IL 60707
Cook County (773) 237-8855
DR. JACQUELINE MAGALLANES DMD
Dentist
7124 W DIVERSEY AVE
CHICAGO, IL 60707
Cook County (773) 237-8855
BRIAN M CARABA DDS PC
Dentist
7124 W DIVERSEY AVE
CHICAGO, IL 60707
Cook County (773) 237-8855
DR. GREGORY JAMES MATKE DDS
Dentist
7124 W DIVERSEY AVE
CHICAGO, IL 60707
Cook County (773) 237-8855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Mariscal's NPI number?

The NPI number for Jose Mariscal is 1306071295. It was assigned to this individual provider in the NPPES registry on May 20, 2009.

Where is Jose Mariscal located?

Jose Mariscal practices at 7124 W Diversey Ave, Chicago, IL 60707. The listed phone number is (773) 237-8855.

What is Jose Mariscal's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jose Mariscal enrolled in Medicare?

Yes. Jose Mariscal is registered in the Medicare PECOS enrollment system.

What insurance does Jose Mariscal accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Jose Mariscal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jose Mariscal was last updated on May 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.