Chase Douglas Pennino, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.030827 Issued in IL

Practice address

101 Lions Dr Ste 100
Barrington, IL 60010-3147

Phone

(224) 655-6384

NPI assigned

Jul 8, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1326490855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LIONS DR STE 100",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103147",
            "telephone_number": "224-655-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LIONS DR STE 100",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103147",
            "telephone_number": "224-655-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINO",
        "first_name": "CHASE",
        "middle_name": "DOUGLAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.030827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Paulus, FNP-BC
• Pearlstone Home Health LLC
• Debra Pawley Pearson, PTA
• Pediatric Care P.C.
• Kenneth Read Peirce, MD
• Connor Andrew Pennino, D.D.S.
• Douglas Pennino, DDS
• Andrea B Perez, MA, ATR, LCPC
• Stacy Lynn Perkins Smith, MA, LCPC
• Kathryn Ann Perkins, AU.D.

• General Practice Dentistry in Barrington, IL
• Providers in Barrington, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.