Zion Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

019.031025 Issued in IL

Legal business name

ZION DENTAL LLC

Practice address

2671 Sheridan Rd
Zion, IL 60099-2628

Phone

(847) 872-4782

NPI assigned

Feb 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Amar Hemant Pattani, DDS

Title

Dentist

Phone

(262) 728-9330

Specialties & licenses 1

Addresses

Practitioners 2

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

• Van Hong Nguyen, DMD

  • Dentist
  • Zion, IL
  • NPI 1649019498
  NPD (past)
• Alan Richard Wielgos, D.D.S.

  • Dentist
  • Zion, IL
  • NPI 1992824957
  NPD (past)

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1821537036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S 4TH ST",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531151802",
            "telephone_number": "262-728-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 SHERIDAN RD",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992628",
            "telephone_number": "847-872-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "PATTANI",
        "authorized_official_first_name": "AMAR",
        "authorized_official_middle_name": "HEMANT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "262-728-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.031025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zion Benton Township Dist 126
• Zion Benton Township High School
• Zion Care Center LLC
• Zion Care Center LLC
• Zion Clinic SC
• Zion Elementary School Dist 6
• Zion-Barton, L.L.C.

• Dentist in Zion, IL
• Providers in Zion, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.