Active NPI
Prairie View Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- PRAIRIE VIEW ORTHODONTICS
- Practice address
- 2121 W Galena Blvd
Aurora, IL 60506-3274 - Phone
- (630) 896-5400
- NPI assigned
- Feb 13, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacqueline Lee Pileski Zimmer, DDS., MS
- Title
- Orthodontist
- Phone
- (630) 896-5400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | IL | Primary |
Addresses
Primary practice location
2121 W Galena Blvd
Aurora, IL 60506-3274
Mailing address
2121 W Galena Blvd
Aurora, IL 60506-3274
Phone (630) 896-5400
National Provider Directory
National Provider DirectoryLocations
2121 W Galena Blvd
Aurora, IL 60506
Phone (630) 896-5400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Aurora, IL
- NPI 1881228161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487796629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 W GALENA BLVD",
"city": "AURORA",
"state": "IL",
"postal_code": "605063274",
"telephone_number": "630-896-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 W GALENA BLVD",
"city": "AURORA",
"state": "IL",
"postal_code": "605063274",
"telephone_number": "630-896-5400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAIRIE VIEW ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZIMMER",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "LEE PILESKI",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "630-896-5400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS., MS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- 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.