JS Dental Care LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JS DENTAL CARE LLC

Doing business as

Pallotto Dental Care

Practice address

18610 Burnham Ave Ste D
Lansing, IL 60438-3500

Phone

(708) 895-0778

NPI assigned

Sep 25, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jee Sun Kim

Title

Manager

Phone

(571) 263-4824

Specialties & licenses 1

Addresses

Other names 1

• Pallotto Dental Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1003695560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 S RACINE AVE APT 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 BURNHAM AVE STE D",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383500",
            "telephone_number": "708-895-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JEE SUN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "571-263-4824"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pallotto Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiaira M Johnson
• Latina D Jones, RBT
• Luval Crystal Jones, PHARM. D.,
• Zachary Taylor Jones, O.D.
• Josephine Roh-Yih Chang DDS LTD (Pallotto Dental Care)
• JS Sleep Center
• Michele Junious Lyons, FNP
• K&B Wellness
• Robert Kallus, M.S.
• Senthil Kumar Kanagasabapathy, D.P.T

• General Practice Dentistry in Lansing, IL
• Providers in Lansing, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.