Individual provider Active NPI

Arlene M Engert, DDS

  • Dentist
  • Park Ridge, IL
National Provider Identifier
1265693097
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019018641 Issued in IL
Practice address
20 Main St
Park Ridge, IL 60068-4054
Phone
(847) 698-2161
Fax
(847) 698-1004
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019018641 IL Primary

Addresses

Primary practice location

20 Main St
Park Ridge, IL 60068-4054

Mailing address

20 Main St
Park Ridge, IL 60068-4054
Phone (847) 698-2161

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

LicenseStateTypeSpecialty
019018641ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Davis & Engert Dentistry Past Accepting new patients
Davis & Engert P.C. Dentist 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.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1265693097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAIN ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684054",
            "telephone_number": "847-698-2161",
            "fax_number": "847-698-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAIN ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684054",
            "telephone_number": "847-698-2161",
            "fax_number": "847-698-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGERT",
        "first_name": "ARLENE",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019018641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.