Individual provider Active NPI

Simona Ziliute, DDS

  • General Practice Dentistry
  • Plainfield, IL
National Provider Identifier
1093120917
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019029855 Issued in IL
Practice address
13621 S Route 59 Unit 103
Plainfield, IL 60544-9701
Phone
(815) 439-2400
Fax
(815) 439-1837
NPI assigned
Jun 30, 2014
Last updated
Jun 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019029855 IL Primary

Addresses

Primary practice location

13621 S Route 59 Unit 103
Plainfield, IL 60544-9701

Mailing address

2909 Brentwood CT
Woodridge, IL 60517-3736
Phone (312) 933-3077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019029855ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1093120917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 BRENTWOOD CT",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605173736",
            "telephone_number": "312-933-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13621 S ROUTE 59 UNIT 103",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605449701",
            "telephone_number": "815-439-2400",
            "fax_number": "815-439-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILIUTE",
        "first_name": "SIMONA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.