Northwest Periodontics & Implants

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

060000422 Issued in IL

Legal business name

NORTHWEST PERIODONTICS & IMPLANTS

Practice address

220 N Smith St Ste 125
Palatine, IL 60067-2488

Phone

(847) 358-3939

Fax

(847) 358-1462

NPI assigned

Mar 1, 2007

Last updated

Sep 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sheffield S Hyde, D.D.S., M.SNPI 1538100888

Title

Treasurer

Phone

(847) 358-3939

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Sheffield Saunders Hyde, D.D.S., M.S.

  • Periodontics
  • Palatine, IL
  • NPI 1538100888
  NPD Authorized official
• Daniel Menze Greising, DDS, MS

  • Periodontics
  • Palatine, IL
  • NPI 1962593855
  NPD
• Brandon Hull, D.M.D., M.S.

  • Dentist
  • Rockford, IL
  • NPI 1225209562

  Periodontics

  NPD (past)
• Marc G. Pescheret, DDS

  • Periodontics
  • Palatine, IL
  • NPI 1396807418
  NPD (past)
• Alexander Constantine Tzanos, D.D.S.

  • Periodontics
  • Crystal Lake, IL
  • NPI 1821250630
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1235267469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N SMITH ST STE 125",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672488",
            "telephone_number": "847-358-3939",
            "fax_number": "847-358-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N SMITH ST STE 125",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672488",
            "telephone_number": "847-358-3939",
            "fax_number": "847-358-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PERIODONTICS & IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "SHEFFIELD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "847-358-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "060000422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Nootbaar, LPC
• Amanda Nordmeyer, BCBA
• Northern Illinois Medical Supply LLC
• Northern Illinois Medical Supply LLC
• Northern Illinois Medical Supply LLC
• Danielle Novello, M.A.
• Harry James Nozicka, LCSW,MSW
• Nurture Healthcare Inc
• Nutridynamic, LLC (Pathway Nutrition Services)
• Kathryn Marie O'Bright, PT, DPT, OCS

• Periodontics in Palatine, IL
• Providers in Palatine, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.