NPIMap

Organization Active NPI

Michelle Devaull Pinkerton DDS PC

  • Dentist
  • Westchester, IL
National Provider Identifier
1659364081
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D19020164 Issued in IL
Legal business name
MICHELLE DEVAULL PINKERTON DDS PC
Practice address
1600 Westchester Blvd
Westchester, IL 60154-4362
Phone
(708) 865-1484
Fax
(708) 865-1551
NPI assigned
Aug 31, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michelle Devaull Pinkerton, DDSNPI 1942328307
Title
Owner
Phone
(708) 865-1484

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)CodeLicenseStatePrimary
Dentist 122300000X D19020164 IL Primary

Addresses

Primary practice location

1600 Westchester Blvd
Westchester, IL 60154-4362

Mailing address

1600 Westchester Blvd
Westchester, IL 60154-4362
Phone (708) 865-1484

National Provider Directory

National Provider Directory

Locations

1600 Westchester Blvd
Westchester, IL 60154
Phone (708) 865-1484

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.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659364081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WESTCHESTER BLVD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601544362",
            "telephone_number": "708-865-1484",
            "fax_number": "708-865-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WESTCHESTER BLVD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601544362",
            "telephone_number": "708-865-1484",
            "fax_number": "708-865-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE DEVAULL PINKERTON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVAULL PINKERTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-865-1484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "D19020164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, 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.

Verify at the official NPI Registry.