Active NPI
Hani Zeno
- Dentist
- Addison, IL
National Provider Identifier
1174262174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.033635
- Practice address
- 200 W Lake St
Addison, IL 60101-2513 - Phone
- (630) 628-3115
- NPI assigned
- May 31, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.033635 | IL | Primary |
Addresses
Primary practice location
200 W Lake St
Addison, IL 60101-2513
Mailing address
6340 Americana Dr
Willowbrook, IL 60527-2255
Phone (312) 610-0618
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.033635 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1174262174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6340 AMERICANA DR",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605272255",
"telephone_number": "312-610-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W LAKE ST",
"city": "ADDISON",
"state": "IL",
"postal_code": "601012513",
"telephone_number": "630-628-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZENO",
"first_name": "HANI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.033635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.