Active NPI
John A. Saniat, D.D.S.
- Periodontics
- Wheaton, IL
National Provider Identifier
1073687927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 019021347 | IL | MD | Dentist |
| 021001664 | IL | MD | Periodontist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.