Active NPI
Winterset of Frankfort
- Dentist
- Frankfort, IL
National Provider Identifier
1073783767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- WINTERSET OF FRANKFORT
- Doing business as
- FrankfortWinterset Advanced Dentistry & Implants
- Practice address
- 10053 W Lincoln Hwy
Frankfort, IL 60423-1272 - Phone
- (815) 806-0400
- Fax
- (815) 806-2126
- NPI assigned
- Mar 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anil K Agarwal, D.D.S
- Title
- President
- Phone
- 81580680400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
10053 W Lincoln Hwy
Frankfort, IL 60423-1272
Mailing address
10053 W Lincoln Hwy
Frankfort, IL 60423-1272
Phone (815) 806-0400
Other names 1
- FrankfortWinterset Advanced Dentistry & Implants
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205107200000",
"number": "1073783767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10053 W LINCOLN HWY",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604231272",
"telephone_number": "815-806-0400",
"fax_number": "815-806-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10053 W LINCOLN HWY",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604231272",
"telephone_number": "815-806-0400",
"fax_number": "815-806-2126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINTERSET OF FRANKFORT",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-10",
"status": "A",
"authorized_official_last_name": "AGARWAL",
"authorized_official_first_name": "ANIL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "81580680400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FrankfortWinterset Advanced Dentistry & Implants",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.