Active NPI
Richard W Ziegler, D.D.S.
- Dentist
- Berwyn, IL
National Provider Identifier
1265473938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019-019096
- Practice address
- 6903 Stanley Ave
Berwyn, IL 60402-2919 - Phone
- (708) 795-4288
- NPI assigned
- Jun 10, 2006
- 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 | 019-019096 | IL | Primary |
Addresses
Primary practice location
6903 Stanley Ave
Berwyn, IL 60402-2919
Mailing address
6903 Stanley Ave
Berwyn, IL 60402-2919
Phone (708) 795-4288
Other practice location 1
3218 Kenilworth Ave
Berwyn, IL 60402-3003
Phone (708) 637-6997
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 319-008545 | Other | IL | CS LICENSE |
| 019-019096 | Medicaid | IL |
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 |
|---|---|---|---|
| 019-019096 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Ziegler DDS, PC | Past | Accepting new patients | |
| Smiles of Hope Incorporated | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Berwyn, IL
- NPI 1669515599
-
- Dental Clinic/Center
- Berwyn, IL
- NPI 1770968125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1265473938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6903 STANLEY AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604022919",
"telephone_number": "708-795-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6903 STANLEY AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604022919",
"telephone_number": "708-795-4288"
}
],
"practiceLocations": [
{
"address_1": "3218 Kenilworth Ave",
"address_purpose": "LOCATION",
"city": "Berwyn",
"state": "IL",
"postal_code": "604023003",
"country_code": "US",
"telephone_number": "708-637-6997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIEGLER",
"first_name": "RICHARD",
"middle_name": "W",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-019096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CS LICENSE",
"identifier": "319-008545",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019-019096",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.