NPIMap

Organization Active NPI

Josepsh W. Noetzel D.D.S. and Ilenne Noetzel D.D.S.,LTD.

Doing business as Ashland Dental and Wellness Center

  • General Practice Dentistry
  • Chicago Heights, IL
National Provider Identifier
1750503561
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19-024540 Issued in IL
Legal business name
JOSEPSH W. NOETZEL D.D.S. AND ILENNE NOETZEL D.D.S.,LTD.
Doing business as
Ashland Dental and Wellness Center
Practice address
500 Ashland Ave
Chicago Heights, IL 60411-3091
Phone
(708) 755-1333
Fax
(708) 755-2751
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Ilenne NoetzelNPI 1073735932
Title
DDS
Phone
(708) 755-1333

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19-024540 IL Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

500 Ashland Ave
Chicago Heights, IL 60411-3091

Mailing address

500 Ashland Ave
Chicago Heights, IL 60411-3091
Phone (708) 755-1333

Other names 1

  • Ashland Dental and Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

20200 Ashland Ave
Chicago Hts, IL 60411
Phone (708) 754-3334

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1750503561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ASHLAND AVE",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113091",
            "telephone_number": "708-755-1333",
            "fax_number": "708-755-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ASHLAND AVE",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113091",
            "telephone_number": "708-755-1333",
            "fax_number": "708-755-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPSH W. NOETZEL D.D.S. AND ILENNE NOETZEL D.D.S.,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "NOETZEL",
        "authorized_official_first_name": "ILENNE",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "708-755-1333"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19-024540",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashland Dental and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 18, 2023; 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.