Nicholas J Pallotto, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

364112212 Issued in IL

Practice address

18610 Burnham Ave
Suite D
Lansing, IL 60438-3500

Phone

(708) 895-0778

Fax

(708) 895-1518

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1154411031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18610 BURNHAM AVE",
            "address_2": "SUITE D",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383500",
            "telephone_number": "708-895-0778",
            "fax_number": "708-895-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 BURNHAM AVE",
            "address_2": "SUITE D",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383500",
            "telephone_number": "708-895-0778",
            "fax_number": "708-895-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLOTTO",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "364112212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Oswald, D.O.
• Timothy Owen, D.C.
• Cindy Irene Padilla, CNA
• Pallotto Dental Care
• Anthony M Pallotto, DDS
• Deborah Parra, PEDORTHIST
• Latrice Tonias Pate Oglesby, LCPC
• Patient Plus Homehealth Care Inc.
• Patrick J Honsa DDS
• Sherese Payne

• General Practice Dentistry in Lansing, IL
• Providers in Lansing, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.