NPIMap

Organization Active NPI

Lamantia & Mazanek LTD.

  • General Practice Dentistry
  • Niles, IL
National Provider Identifier
1407028624
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019018548 Issued in IL
Legal business name
LAMANTIA & MAZANEK LTD.
Practice address
7942 W Oakton St
Niles, IL 60714-2457
Phone
(847) 823-0260
Fax
(847) 823-0269
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Dr. Richard Mazanek, D.D.SNPI 1043215445
Title
Owner
Phone
(847) 823-0260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019018548 IL Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019018545 IL

Addresses

Primary practice location

7942 W Oakton St
Niles, IL 60714-2457

Mailing address

7942 W Oakton St
Niles, IL 60714-2457
Phone (847) 823-0260

Other names 1

  • Suburban Dental Center Other name

National Provider Directory

National Provider Directory

Locations

7942 W Oakton St
Niles, IL 60714
Phone (847) 823-0260

Practitioners & affiliated clinicians

Practitioners 3

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": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1407028624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7942 W OAKTON ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142457",
            "telephone_number": "847-823-0260",
            "fax_number": "847-823-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7942 W OAKTON ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142457",
            "telephone_number": "847-823-0260",
            "fax_number": "847-823-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMANTIA & MAZANEK LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "MAZANEK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-823-0260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018548",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018545",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suburban Dental Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.