DR. JASON RALPH CRESCENZO (NPI# 1114192838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114192838 |
| Entity Type | Individual |
| Full Name | DR. JASON RALPH CRESCENZO |
| Credential | D.D.S. |
| Practice Address |
16345 Harlem Ave Ste 160 Tinley Park IL 60477-2589 |
| Practice Telephone | 7087819754 |
| Practice Fax Number | 7087819758 |
| Mailing Telephone | 7087819754 |
| Mailing Fax Number | 7087819758 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2011-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019027570 | IL | Dental Providers |
| Street Address |
16345 HARLEM AVE STE 160 |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-2589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629374046 | Jason R. Crescenzo, Dds, P.C. | Clinic/Center | 16345 Harlem Ave Ste 160, Tinley Park, IL 60477-2589 | 2011-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| 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 |
|---|---|---|---|---|
| 1518317312 | Tyler Markus | Dentist | 17859 Oak Park Ave, Tinley Park, IL 60477-3937 | 2016-06-13 |
| 1720361736 | Kathleen M Falsey | Dentist | 8014 171st St, Tinley Park, IL 60477-4546 | 2011-09-26 |
| 1720259831 | Optimal Dental Partnership | Dentist | 15916 Harlem Ave, Tinley Park, IL 60477-1610 | 2008-03-17 |
| 1003084930 | Kosel Dental PC | Dentist | 17859 Oak Park Avenue, Tinley Park, IL 60477 | 2008-02-13 |
| 1356543755 | Family Dental Care | Dentist | 7895 W 159th St, Tinley Park, IL 60477 | 2007-06-05 |
| 1770797854 | Bryan Lipson | Dentist | 18400 Maple Creek Dr, Suite 100, Tinley Park, IL 60477-2976 | 2007-05-09 |
| 1225257397 | Crossroads Dental Care LLC | Dentist | 9532 179th St, Tinley Park, IL 60477-9602 | 2007-04-25 |
| 1720104854 | Chris Bernard Gambla | Dentist | 16653 80th Ave, Presidential Suite, Tinley Park, IL 60477-1215 | 2007-03-21 |
| 1245361880 | F Wayne Gedutis | Dentist | 16571 Oak Park Ave, Tinley Park, IL 60477-1752 | 2007-03-07 |
| 1144365321 | Michael Patrick Ryan | Dentist | 17061 Harlem Ave, Tinley Park, IL 60477-2739 | 2007-02-21 |
| Find all providers in TINLEY PARK | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
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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.