NPIMap

Organization Active NPI

Jeffrey J. Markett, PC

  • Dental Clinic/Center
  • Lombard, IL
National Provider Identifier
1871183244
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JEFFREY J. MARKETT, PC
Practice address
426 W 22ND St
Lombard, IL 60148-4807
Phone
(630) 620-5552
Fax
(630) 620-5295
NPI assigned
Jan 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Norma Diaz
Title
Office Manager
Phone
(630) 620-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

426 W 22ND St
Lombard, IL 60148-4807

Mailing address

426 W 22ND St
Lombard, IL 60148-4807
Phone (630) 620-5552

National Provider Directory

National Provider Directory

Locations

426 W 22nd St
Lombard, IL 60148
Phone (630) 620-5552

Practitioners & affiliated clinicians

Practitioners 1

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": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1871183244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 W 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484807",
            "telephone_number": "630-620-5552",
            "fax_number": "630-620-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 W 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484807",
            "telephone_number": "630-620-5552",
            "fax_number": "630-620-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J. MARKETT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-620-5552"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.