Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306071295 Individual Practitioner Male Practitioner

Dr. Jose Manuel Mariscal , DDS

Dentist - General Practice • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jose Mariscal, DDS is a registered healthcare professional specializing in Dentist - General Practice in Chicago, IL. Practice services are available at 7124 W DIVERSEY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7124 W Diversey Ave

Chicago, IL 607071601

Telephone 7732378855
Associated Practice Facility / Clinic
🏢 Brian M Caraba Dds Pc Facility NPI 1386864411

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.027908

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1013137140

Doctor of Dental Surgery

Zulma Dejesus , RDH

Dental Hygienist

NPI 1104046234

Registered Dental Hygienist

NPI 1114448578

Doctor of Dental Medicine

NPI 1740400878

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 20, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2009

Registered at 7124 W DIVERSEY AVE, CHICAGO, IL 607071601 (Tel: 7732378855)

📍
Updated Business Mailing Address May 20, 2009

Registered at 7124 W DIVERSEY AVE, CHICAGO, IL 607071601 (Tel: 7732378855)

👤
Provider Name / Credentials Updated May 20, 2009

Recorded as JOSE MARISCAL, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2009

Dentist (License #019.027908 in IL)

🟢
Initial NPI Registration & Enumeration May 20, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306071295
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2009
Last Update: May 20, 2009
Sole Proprietor: No

Mailing Address

7124 W Diversey Ave

Chicago, IL 607071601

Phone: 7732378855

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.