Active NPI
Pattan DDS Engelmann DDS LTD
- Dentist
- East Alton, IL
National Provider Identifier
1710158746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- PATTAN DDS ENGELMANN DDS LTD
- Practice address
- 209 School St
East Alton, IL 62024-1458 - Phone
- (618) 254-0185
- NPI assigned
- Mar 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dennis Lee Engelmann, DDS
- Title
- Secretary
- Phone
- (618) 254-0185
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
209 School St
East Alton, IL 62024-1458
Mailing address
209 School St
East Alton, IL 62024-1458
Phone (618) 254-0185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101038 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Pattan and Engelmann DDS LTD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- East Alton, IL
- NPI 1053686691
Locations
209 School St
East Alton, IL 62024
Phone (618) 254-0185
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- East Alton, IL
- NPI 1639224199
-
- General Practice Dentistry
- East Alton, IL
- NPI 1700900776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205798400000",
"number": "1710158746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 SCHOOL ST",
"city": "EAST ALTON",
"state": "IL",
"postal_code": "620241458",
"telephone_number": "618-254-0185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 SCHOOL ST",
"city": "EAST ALTON",
"state": "IL",
"postal_code": "620241458",
"telephone_number": "618-254-0185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATTAN DDS ENGELMANN DDS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A",
"authorized_official_last_name": "ENGELMANN",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "618-254-0185",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101038",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.