Active NPI
Robert Johann Malorny, DDS
- Dentist
- Westmont, IL
National Provider Identifier
1487721783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0190013879
- Practice address
- 38 West 63Rd Street
Westmont, IL 60559-8601 - Phone
- (630) 968-7300
- NPI assigned
- Nov 29, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0190013879 | IL | Primary |
Addresses
Primary practice location
38 West 63Rd Street
Westmont, IL 60559-8601
Mailing address
38 West 63Rd Street
Westmont, IL 60559-8601
Phone (630) 968-7300
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0190013879 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487721783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 WEST 63RD STREET",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605598601",
"telephone_number": "630-968-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 WEST 63RD STREET",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605598601",
"telephone_number": "630-968-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALORNY",
"first_name": "ROBERT",
"middle_name": "JOHANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "0190013879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.