Lakewood Dentistry LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

019026717 Issued in IL

Legal business name

LAKEWOOD DENTISTRY LLC

Practice address

9411 Ackman Rd
Lake in the Hills, IL 60156-9706

Phone

(630) 339-3172

NPI assigned

Feb 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Alan J Acierno, DDS

Title

Manager

Phone

(630) 339-3172

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1619336278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 S ROSELLE RD",
            "address_2": "SUITE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601935540",
            "telephone_number": "630-339-3172",
            "fax_number": "847-891-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9411 ACKMAN RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569706",
            "telephone_number": "630-339-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "ACIERNO",
        "authorized_official_first_name": "ALAN J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-339-3172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "019026717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A Kupfert, DPT
• Margaret Kuria
• William Alfred Kurzbuch, D.C.
• Jacob Kenneth Lagreca
• Lake Hills Dental Corporation
• Langefeld Czapla and Asso DDS PC
• Douglas Ralph Langefeld, D.D.S.
• Erik Langner, APRN
• Jesse Larson, DPT
• Loriann Larson, DPT

• Preferred Provider Organization in Lake in the Hills, IL
• Providers in Lake in the Hills, IL by specialty
• Preferred Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.