Individual provider Active NPI

Zoran Djordje Stojanovic, DDS

  • Dentist
  • West Dundee, IL
National Provider Identifier
1659474153
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
01907675 Issued in IL
Practice address
712 West Main Steet
West Dundee, IL 60118
Phone
(847) 426-4431
Fax
(847) 426-4399
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 01907675 IL Primary

Addresses

Primary practice location

712 West Main Steet
West Dundee, IL 60118

Mailing address

712 West Main Steet
West Dundee, IL 60118
Phone (847) 426-4431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150605001130 IL Order and Referring Only - Other (Non-Physician) 4183940844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01907675ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Zoran D. Stojanovic & Associates, LTD PastSince Oct 1, 1988 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659474153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 WEST MAIN STEET",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "60118",
            "telephone_number": "847-426-4431",
            "fax_number": "847-426-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 WEST MAIN STEET",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "60118",
            "telephone_number": "847-426-4431",
            "fax_number": "847-426-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOJANOVIC",
        "first_name": "ZORAN",
        "middle_name": "DJORDJE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "01907675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Dundee, IL

Sources for this page

Verify at the official NPI Registry.