Active NPI
Matthew Joseph Zielinski, D.D.S
- Dentist
- Vernon Hills, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.030875
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.030875 | IL | MD | Dentist |
| 018.001991 | IL | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Loyola University Medical Center | Current | 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
- 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.
-
- General Practice Physician
- Maywood, IL
- NPI 1336159961
-
dba Mulcahy Pharmacy
- Community/Retail Pharmacy
- Maywood, IL
- NPI 1184789299
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
dba Affordable Dental of Illnois
- Dental Clinic/Center
- Dupo, IL
- NPI 1154712784
Oral and Maxillofacial Surgery
-
- General Practice Dentistry
- Warrenville, IL
- NPI 1861553828
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.