Individual provider Active NPI

Matthew Joseph Zielinski, D.D.S

  • Dentist
  • Vernon Hills, IL
National Provider Identifier
1760831465
Registry record updated May 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.030875 Issued in IL
Practice address
10 W Phillip Rd Ste 128
Vernon Hills, IL 60061-1796
Phone
(847) 367-6410
NPI assigned
Jun 3, 2016
Last updated
May 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.030875 IL Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 018.001991 IL

Addresses

Primary practice location

10 W Phillip Rd Ste 128
Vernon Hills, IL 60061-1796

Mailing address

10 W Phillip Rd Ste 128
Vernon Hills, IL 60061-1796
Phone (847) 367-6410

Other practice location 1

525 W Old Northwest Hwy Ste 303
Barrington, IL 60010-6818
Phone (847) 381-3210

Other practice location 2

28365 Davis Pkwy Ste 206
Warrenville, IL 60555-3034
Phone (630) 836-8995

Other practice location 3

2160 S. First Ave
Loyola University Medical Center
Maywood, IL 60153
Phone (708) 216-9000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mzielinski82897@direct.luhs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171206001851 IL Practitioner - Dentist 4688931215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.030875ILMDDentist
018.001991ILMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center CurrentSince Nov 1, 2017 Accepting new patients
Loyola University Medical Center CurrentSince Nov 1, 2017 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Edp of Illinois P.C Oral and Maxillofacial Surgery Past Accepting new patients
Family First Dental LLC Past Accepting new patients

Locations

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

2 Westbrook Corporate Ctr
Ste 600
Westchester, IL 60154
Phone (708) 216-5092

Interoperability endpoints

  • Direct secure messaging: mzielinski82897@direct.luhs.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1760831465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W PHILLIP RD STE 128",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611796",
            "telephone_number": "847-367-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W PHILLIP RD STE 128",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611796",
            "telephone_number": "847-367-6410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 W Old Northwest Hwy Ste 303",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600106818",
            "country_code": "US",
            "telephone_number": "847-381-3210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28365 Davis Pkwy Ste 206",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "605553034",
            "country_code": "US",
            "telephone_number": "630-836-8995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2160 S. First Ave",
            "address_2": "Loyola University Medical Center",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "60153",
            "country_code": "US",
            "telephone_number": "708-216-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIELINSKI",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030875",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "018.001991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mzielinski82897@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S. First Ave",
            "address_2": "Loyola University Medical Center",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.