Organization Active NPI

Ronald J. Waryjas, DDS, LTD.Ar

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Holland, IL
National Provider Identifier
1881725141
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RONALD J. WARYJAS, DDS, LTD.AR
Practice address
401 E 162ND St
Suite 205
South Holland, IL 60473-2236
Phone
(708) 596-2226
Fax
(708) 596-2227
NPI assigned
Mar 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald J. Waryjas, D.D.S., M.S.NPI 1457482796
Title
President
Phone
(708) 596-2226

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X IL Primary

Addresses

Primary practice location

401 E 162ND St
Suite 205
South Holland, IL 60473-2236

Mailing address

401 E 162ND St
Suite 205
South Holland, IL 60473-2236
Phone (708) 596-2226

National Provider Directory

National Provider Directory

Locations

401 E 162nd St
Ste 205
South Holland, IL 60473
Phone (708) 596-2226

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881725141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 162ND ST",
            "address_2": "SUITE 205",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732236",
            "telephone_number": "708-596-2226",
            "fax_number": "708-596-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 162ND ST",
            "address_2": "SUITE 205",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732236",
            "telephone_number": "708-596-2226",
            "fax_number": "708-596-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J. WARYJAS, DDS, LTD.AR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARYJAS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-596-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.