Individual provider Active NPI

Stanley Elliott Treitler, DDS

  • Dentist
  • Arlington HTS, IL
National Provider Identifier
1396813325
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19015917 Issued in IL
Practice address
1420 N Arlington HTS Rd
#110
Arlington HTS, IL 60004
Phone
(847) 255-3021
Fax
(847) 255-3172
NPI assigned
Nov 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19015917 IL Primary

Addresses

Primary practice location

1420 N Arlington HTS Rd
#110
Arlington HTS, IL 60004

Mailing address

1420 N Arlington HTS Rd
#110
Arlington HTS, IL 60004
Phone (847) 255-3021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 16, 2016 through Jun 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19015917ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Periodontics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396813325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N ARLINGTON HTS RD",
            "address_2": "#110",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-255-3021",
            "fax_number": "847-255-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N ARLINGTON HTS RD",
            "address_2": "#110",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-255-3021",
            "fax_number": "847-255-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREITLER",
        "first_name": "STANLEY",
        "middle_name": "ELLIOTT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "19015917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

Verify at the official NPI Registry.