Jaime Ann Pettenon, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

019030754 Issued in IL

Practice address

39 E Colorado Ave
Frankfort, IL 60423-1385

Phone

(708) 789-9289

NPI assigned

Apr 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jaime Ann Chowaniec Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dgbdds LLC, Denise Maniakouras, DDS

  • Pediatric Dentistry
  • Frankfort, IL
  • NPI 1225402795
  NPD (past)
• Glen Ellyn Pediatric Dentistry ,P.C..

  • Pediatric Dentistry
  • Glen Ellyn, IL
  • NPI 1043390792
  NPD (past)

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1851788913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E COLORADO AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231385",
            "telephone_number": "708-789-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E COLORADO AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231385",
            "telephone_number": "708-789-9289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "866-600-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 S Park Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601376299",
            "country_code": "US",
            "telephone_number": "630-858-8755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTENON",
        "first_name": "JAIME",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019030754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "CHOWANIEC",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Perry, D.D.S.
• Joana Marie Persiani, ATS
• Personal Solutions Counseling
• Personal Solutions Counseling, PC
• Virginia Pesa, LCPC
• Petty, Bielik & Burke Orthodontics, P.C.
• Kayla Pfeiffer, M.S.
• Felicity Pina
• Pinnacle Dermatology, SC
• Pinnacle Physical Therapy, LLC

• Pediatric Dentistry in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; 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.

Verify at the official NPI Registry.