Organization Active NPI

Jeffrey Winterich Dental Group

  • Dentist
  • Des Plaines, IL
National Provider Identifier
1780043596
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019027762 Issued in IL
Legal business name
JEFFREY WINTERICH DENTAL GROUP
Practice address
615 N Wolf Rd
Des Plaines, IL 60016-1045
Phone
(224) 443-4126
Fax
(224) 443-4128
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Dr. Jeffrey R Winterich, DMD
Title
Dentist/Owner
Phone
(224) 443-4126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019027762 IL Primary

Addresses

Primary practice location

615 N Wolf Rd
Des Plaines, IL 60016-1045

Mailing address

615 N Wolf Rd
Des Plaines, IL 60016-1045
Phone (224) 443-4126

National Provider Directory

National Provider Directory

Locations

615 N Wolf Rd
Des Plaines, IL 60016
Phone (224) 443-4126

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1780043596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N WOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161045",
            "telephone_number": "224-443-4126",
            "fax_number": "224-443-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N WOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161045",
            "telephone_number": "224-443-4126",
            "fax_number": "224-443-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY WINTERICH DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "WINTERICH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "224-443-4126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.