Organization Active NPI

Daniel J Fornatto D D S P C

  • General Practice Dentistry
  • Elmhurst, IL
National Provider Identifier
1508050022
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019022640 Issued in IL
Legal business name
DANIEL J FORNATTO D D S P C
Practice address
917 S York Rd
Elmhurst, IL 60126-5114
Phone
(630) 833-8088
Fax
(630) 833-0112
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Dr. Daniel J Fornatto, D.D.S.NPI 1447213459
Title
President
Phone
(630) 833-8088

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019022640 IL Primary

Addresses

Primary practice location

917 S York Rd
Elmhurst, IL 60126-5114

Mailing address

917 S York Rd
Elmhurst, IL 60126-5114
Phone (630) 833-8088

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1508050022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 S YORK RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265114",
            "telephone_number": "630-833-8088",
            "fax_number": "630-833-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 S YORK RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265114",
            "telephone_number": "630-833-8088",
            "fax_number": "630-833-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J FORNATTO D D S P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "FORNATTO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-833-8088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019022640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.