NPIMap

Organization Active NPI

Wisz & Katz Enterprises PC

Doing business as Libertybille Dental Associates

  • General Practice Dentistry
  • Libertyville, IL
National Provider Identifier
1811102932
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WISZ & KATZ ENTERPRISES PC
Doing business as
Libertybille Dental Associates
Practice address
1641 N Milwaukee Ave
Ste 3
Libertyville, IL 60048-1350
Phone
(847) 367-6360
Fax
(847) 367-8627
NPI assigned
May 11, 2007
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Carl S Katz, DDSNPI 1447465588
Title
Vice Pres
Phone
(847) 367-6360

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1641 N Milwaukee Ave
Ste 3
Libertyville, IL 60048-1350

Mailing address

1641 N Milwaukee Ave
Ste 3
Libertyville, IL 60048-1350
Phone (847) 367-6360

Other names 1

  • Libertybille Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1641 N Milwaukee Ave
Ste 3
Libertyville, IL 60048
Phone (847) 367-6360

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1811102932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 N MILWAUKEE AVE",
            "address_2": "STE 3",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481350",
            "telephone_number": "847-367-6360",
            "fax_number": "847-367-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 N MILWAUKEE AVE",
            "address_2": "STE 3",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481350",
            "telephone_number": "847-367-6360",
            "fax_number": "847-367-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISZ & KATZ ENTERPRISES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRES",
        "authorized_official_telephone_number": "847-367-6360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Libertybille Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.