Organization Active NPI

Zale Family Dentistry, P.C.

  • General Practice Dentistry
  • New Lenox, IL
National Provider Identifier
1154584621
Registry record updated Jul 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-025386 Issued in IL
Legal business name
ZALE FAMILY DENTISTRY, P.C.
Practice address
2081 Calistoga Dr Ste 3S
New Lenox, IL 60451-4834
Phone
(815) 462-4040
Fax
(815) 462-4073
NPI assigned
Jul 5, 2008
Last updated
Jul 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2008

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

Authorized official

Name
Dr. Brian A. Zale, DMDNPI 1356542930
Title
Dentist
Phone
(815) 462-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-025386 IL Primary

Addresses

Primary practice location

2081 Calistoga Dr Ste 3S
New Lenox, IL 60451-4834

Mailing address

2081 Calistoga Dr Ste 3S
New Lenox, IL 60451-4834
Phone (815) 462-4040

National Provider Directory

National Provider Directory

Locations

2081 Calistoga Dr
Ste 3S
New Lenox, IL 60451
Phone (815) 462-4040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215216000000",
    "number": "1154584621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 CALISTOGA DR STE 3S",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604514834",
            "telephone_number": "815-462-4040",
            "fax_number": "815-462-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 CALISTOGA DR STE 3S",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604514834",
            "telephone_number": "815-462-4040",
            "fax_number": "815-462-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZALE FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-05",
        "last_updated": "2008-07-05",
        "status": "A",
        "authorized_official_last_name": "ZALE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "815-462-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-025386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.

Verify at the official NPI Registry.