Wise Dental Associates PC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

019021649 Issued in IL

Legal business name

WISE DENTAL ASSOCIATES PC

Practice address

536 W Wise Rd
Schaumburg, IL 60193-3815

Phone

(847) 352-8822

Fax

(847) 352-9119

NPI assigned

Jan 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. James P Glinos, DDSNPI 1497809487

Title

President

Phone

(847) 352-8822

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• James Peter Glinos, D.D.S.

  • General Practice Dentistry
  • Schaumburg, IL
  • NPI 1497809487
  NPD (past) Authorized official

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1780074765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 W WISE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933815",
            "telephone_number": "847-352-8822",
            "fax_number": "847-352-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 W WISE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933815",
            "telephone_number": "847-352-8822",
            "fax_number": "847-352-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "GLINOS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-352-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "IL",
            "license": "019021649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019021649",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Public Health Dentistry in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Public Health Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.