Anna M. Pelak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0193854900 Issued in IL

Practice address

647 N 1St Bank Dr
Palatine, IL 60067-8111

Phone

(847) 358-2477

Fax

(847) 358-1217

NPI assigned

Sep 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Artofasmile

  • General Practice Dentistry
  • Streamwood, IL
  • NPI 1235004334
  NPD Authorized official
• Totalidllc

  • Dentist
  • Palatine, IL
  • NPI 1629941299
  NPD Authorized official

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1740430420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 N 1ST BANK DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678111",
            "telephone_number": "847-358-2477",
            "fax_number": "847-358-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 N 1ST BANK DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678111",
            "telephone_number": "847-358-2477",
            "fax_number": "847-358-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAK",
        "first_name": "ANNA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "0193854900",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "0193854900",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "0193854900",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "0193854900",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "0193854900",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "0193584900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tushar R Patel, MD MPH
• Paul F Brezinski DPM PC
• Peace Within LLC
• Katherine D Pederson, MPT, ATC
• Pediatric Central
• Amy Pember, CCC-SLP
• Melissa Perez
• Dorothy Mary Perich
• Stephanie Perkins, M.A.
• Rachel Diane Perry, PTA

• General Practice Dentistry in Palatine, IL
• Providers in Palatine, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.