Organization Active NPI

Pallotto Dental Care

  • General Practice Dentistry
  • Lansing, IL
National Provider Identifier
1063556827
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PALLOTTO DENTAL CARE
Practice address
18610 Burnham Ave
Lansing, IL 60438-3500
Phone
(708) 895-0778
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jan Pallotto
Title
Owner
Phone
(708) 895-0778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

18610 Burnham Ave
Lansing, IL 60438-3500

Mailing address

18610 Burnham Ave
Lansing, IL 60438-3500
Phone (708) 895-0778

National Provider Directory

National Provider Directory

Locations

18610 Burnham Ave
Lansing, IL 60438
Phone (708) 228-8224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063556827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18610 BURNHAM AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383500",
            "telephone_number": "708-895-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 BURNHAM AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383500",
            "telephone_number": "708-895-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLOTTO DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALLOTTO",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-895-0778"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.