Individual provider Active NPI

Walter G Zattera, DDS PC

  • General Practice Dentistry
  • Arlington Heights, IL
National Provider Identifier
1356566152
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
01919209 Issued in IL
Practice address
120 W Eastman St Ste 203
Arlington Heights, IL 60004-5949
Phone
(847) 394-5620
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 01919209 IL Primary

Addresses

Primary practice location

120 W Eastman St Ste 203
Arlington Heights, IL 60004-5949

Mailing address

120 W Eastman St Ste 203
Arlington Heights, IL 60004-5949
Phone (847) 394-5620

Other names 1

  • Walter G Zattera Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
01919209ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1356566152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W EASTMAN ST STE 203",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045949",
            "telephone_number": "847-394-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W EASTMAN ST STE 203",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045949",
            "telephone_number": "847-394-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZATTERA",
        "first_name": "WALTER",
        "middle_name": "G",
        "credential": "DDS PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01919209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WALTER",
            "last_name": "ZATTERA",
            "middle_name": "G",
            "credential": "DDS PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.