Individual provider Active NPI

John A. Saniat, D.D.S.

  • Periodontics
  • Wheaton, IL
National Provider Identifier
1073687927
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Practice address
200 E Willow Ave
#301
Wheaton, IL 60187-5463
Phone
(630) 690-3686
Fax
(630) 690-1804
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X IL
Periodontics 1223P0300X IL Primary

Addresses

Primary practice location

200 E Willow Ave
#301
Wheaton, IL 60187-5463

Mailing address

200 E Willow Ave
#301
Wheaton, IL 60187-5463
Phone (630) 690-3686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 1, 2014 through Mar 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019021347ILMDDentist
021001664ILMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073687927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WILLOW AVE",
            "address_2": "#301",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875463",
            "telephone_number": "630-690-3686",
            "fax_number": "630-690-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WILLOW AVE",
            "address_2": "#301",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875463",
            "telephone_number": "630-690-3686",
            "fax_number": "630-690-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANIAT",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.