Organization Active NPI

Pattan and Engelmann DDS LTD

  • Dentist
  • East Alton, IL
National Provider Identifier
1053686691
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PATTAN AND ENGELMANN DDS LTD
Practice address
209 School St
East Alton, IL 62024-1458
Phone
(618) 254-0185
NPI assigned
Mar 15, 2012
Last updated
Mar 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Louis Walter Pattan Sr., DDSNPI 1700900776
Title
President
Phone
(618) 254-0185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X IL Primary

Addresses

Primary practice location

209 School St
East Alton, IL 62024-1458

Mailing address

209 School St
East Alton, IL 62024-1458
Phone (618) 254-0185

National Provider Directory

National Provider Directory
Tax ID family
Pattan and Engelmann DDS LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

209 School St
East Alton, IL 62024
Phone (618) 254-0185

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1053686691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SCHOOL ST",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620241458",
            "telephone_number": "618-254-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SCHOOL ST",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620241458",
            "telephone_number": "618-254-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTAN AND ENGELMANN DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "PATTAN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-254-0185",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.