Organization Active NPI

Wheaton-Winfield Dental Assoc.LTD

  • Dentist
  • Winfield, IL
National Provider Identifier
1700910759
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WHEATON-WINFIELD DENTAL ASSOC.LTD
Practice address
1N141 County Farm Rd Ste 150
Winfield, IL 60190-2087
Phone
(630) 682-1119
Fax
(630) 682-4176
NPI assigned
Mar 14, 2007
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
Gary James Mackey, DDS
Title
President
Phone
(630) 682-1119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X IL Primary

Addresses

Primary practice location

1N141 County Farm Rd Ste 150
Winfield, IL 60190-2087

Mailing address

1N141 County Farm Rd Ste 150
Winfield, IL 60190-2087
Phone (630) 682-1119

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700910759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1N141 COUNTY FARM RD STE 150",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902087",
            "telephone_number": "630-682-1119",
            "fax_number": "630-682-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1N141 COUNTY FARM RD STE 150",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902087",
            "telephone_number": "630-682-1119",
            "fax_number": "630-682-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATON-WINFIELD DENTAL ASSOC.LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-682-1119",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, 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.