Organization Active NPI

Ronnie Ata Consulting

  • Dentist
  • Blue Island, IL
National Provider Identifier
1285219204
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RONNIE ATA CONSULTING
Practice address
12601 Western Ave Ste B
Blue Island, IL 60406-1777
Phone
(708) 293-1903
Fax
(708) 293-1909
NPI assigned
Mar 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Dr. Ronnie Ata, DDSNPI 1629569546
Title
Owner
Phone
(630) 340-2950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

12601 Western Ave Ste B
Blue Island, IL 60406-1777

Mailing address

12601 Western Ave Ste B
Blue Island, IL 60406-1777
Phone (708) 293-1903

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1285219204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 WESTERN AVE STE B",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061777",
            "telephone_number": "708-293-1903",
            "fax_number": "708-293-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 WESTERN AVE STE B",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061777",
            "telephone_number": "708-293-1903",
            "fax_number": "708-293-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNIE ATA CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "ATA",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-340-2950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.