Organization Active NPI

Dominick Cannata DDS PC

  • General Practice Dentistry
  • Chicago Heights, IL
National Provider Identifier
1679529150
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DOMINICK CANNATA DDS PC
Practice address
171 West 10TH Street
Chicago Heights, IL 60411
Phone
(708) 755-4902
Fax
(708) 755-4971
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Dominick Cannata, DDS
Title
President
Phone
(708) 755-4902

Specialties & licenses 1

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

Addresses

Primary practice location

171 West 10TH Street
Chicago Heights, IL 60411

Mailing address

171 West 10TH Street
Chicago Heights, IL 60411
Phone (708) 755-4902

National Provider Directory

National Provider Directory

Locations

171 W 10th St
Chicago Heights, IL 60411
Phone (708) 755-0433

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1679529150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 WEST 10TH STREET",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "60411",
            "telephone_number": "708-755-4902",
            "fax_number": "708-755-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 WEST 10TH STREET",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "60411",
            "telephone_number": "708-755-4902",
            "fax_number": "708-755-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINICK CANNATA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "CANNATA",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-755-4902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.