Raymond J. Matejcak, D.D.S., LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RAYMOND J. MATEJCAK, D.D.S., LTD.

Practice address

2000 Larkin Ave
Suite #203
Elgin, IL 60123-4404

Phone

(847) 742-1330

Fax

(847) 742-1016

NPI assigned

Jul 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Joseph Matejcak, D.D.S.

Title

President

Phone

(847) 742-1330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447270236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 LARKIN AVE",
            "address_2": "SUITE #203",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234404",
            "telephone_number": "847-742-1330",
            "fax_number": "847-742-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 LARKIN AVE",
            "address_2": "SUITE #203",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234404",
            "telephone_number": "847-742-1330",
            "fax_number": "847-742-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND J. MATEJCAK, D.D.S., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATEJCAK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-742-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Elgin, IL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.