Active NPI
Walter G Zattera, DDS PC
- General Practice Dentistry
- Arlington Heights, IL
National Provider Identifier
1356566152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 01919209
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01919209 | IL | MD | General 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.