Active NPI
Zaid Atarchi
- Dentist
- Aurora, IL
National Provider Identifier
1265809388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019030413
- Practice address
- 2301 Halsted LN
Aurora, IL 60503-5786 - Phone
- (773) 334-8274
- NPI assigned
- Aug 24, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 021002758 | IL | |
| Periodontics | 1223P0300X | 34738 | TX | |
| Dentist | 122300000X | 019030413 | IL | Primary |
Addresses
Primary practice location
2301 Halsted LN
Aurora, IL 60503-5786
Mailing address
2301 Halsted LN
Aurora, IL 60503-5786
Phone (773) 334-8274
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 |
|---|---|---|---|
| 019030413 | IL | MD | Dentist |
| 021002758 | IL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1265809388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 HALSTED LN",
"city": "AURORA",
"state": "IL",
"postal_code": "605035786",
"telephone_number": "773-334-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HALSTED LN",
"city": "AURORA",
"state": "IL",
"postal_code": "605035786",
"telephone_number": "773-334-8274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATARCHI",
"first_name": "ZAID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-24",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "IL",
"license": "021002758",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "34738",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019030413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
- Association for Individual Development
- Association for Individual Development (Aid)
- Association for Individual Development (AID-Maple Terrace)
- Association for Individual Development (Aid)
- Vanessa Astorga
- Jessica Anne Atassi, LSW
- Athletic & Therapeutic Institute of Naperville, LLC (ATI Physical Therapy)
- Athletic and Therapeutic Institute of Naperville LLC (ATI Physical Therapy)
- Athletico LTD (Athletico Sports Medicine and Physical Therapy)
- Atlantis Family Practice
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.