NPIMap

Organization Active NPI

Joseph a. Wanders DDS LTD.

  • General Practice Dentistry
  • Lombard, IL
National Provider Identifier
1548727738
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOSEPH A. WANDERS DDS LTD.
Practice address
233 W Saint Charles Rd
Lombard, IL 60148-2232
Phone
(630) 916-4511
NPI assigned
Feb 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Dr. Joseph A Wanders, DDSNPI 1598871295
Title
President/Owner
Phone
(630) 916-4511

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 Primary

Addresses

Primary practice location

233 W Saint Charles Rd
Lombard, IL 60148-2232

Mailing address

233 W Saint Charles Rd
Lombard, IL 60148-2232
Phone (630) 916-4511

National Provider Directory

National Provider Directory

Locations

233 W Saint Charles Rd
Lombard, IL 60148
Phone (630) 916-4511

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": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1548727738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 W SAINT CHARLES RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482232",
            "telephone_number": "630-916-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W SAINT CHARLES RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482232",
            "telephone_number": "630-916-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A. WANDERS DDS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "WANDERS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "630-916-4511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.