Organization Active NPI

Oak Dental Associates, PC

  • Dentist
  • Oak Lawn, IL
National Provider Identifier
1306211271
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019020334 Issued in IL
Legal business name
OAK DENTAL ASSOCIATES, PC
Practice address
10232 Central Ave
Oak Lawn, IL 60453-4602
Phone
(708) 422-1900
Fax
(708) 422-5281
NPI assigned
Dec 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Christopher Pallotto
Title
Dentist/President
Phone
(708) 422-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019020334 IL Primary

Addresses

Primary practice location

10232 Central Ave
Oak Lawn, IL 60453-4602

Mailing address

10232 Central Ave
Oak Lawn, IL 60453-4602
Phone (708) 422-1900

National Provider Directory

National Provider Directory

Locations

10232 Central Ave
Oak Lawn, IL 60453
Phone (708) 422-1900

Practitioners & affiliated clinicians

Practitioners 2

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": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1306211271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10232 CENTRAL AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534602",
            "telephone_number": "708-422-1900",
            "fax_number": "708-422-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10232 CENTRAL AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534602",
            "telephone_number": "708-422-1900",
            "fax_number": "708-422-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "PALLOTTO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "708-422-1900"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.