NPIMap

Organization Active NPI

Michael J. Whitted DDS PC

  • General Practice Dentistry
  • South Elgin, IL
National Provider Identifier
1891118428
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.026132 Issued in IL
Legal business name
MICHAEL J. WHITTED DDS PC
Practice address
1950 Gyorr Ave
South Elgin, IL 60177-2289
Phone
(847) 695-5100
Fax
(847) 695-5180
NPI assigned
Feb 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Michael Whitted, DDSNPI 1750393989
Title
Owner/Dentist
Phone
(847) 695-5100

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 019.027885 IL
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 019.026132 IL Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 319.018217 IL

Addresses

Primary practice location

1950 Gyorr Ave
South Elgin, IL 60177-2289

Mailing address

1950 Gyorr Ave
South Elgin, IL 60177-2289
Phone (847) 695-5100

Other identifiers 1

IdentifierTypeStateIssuer
1750393989OtherILNPI

Other names 1

  • Michael J. Whitted & Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1950 Gyorr Ave
South Elgin, IL 60177
Phone (847) 695-5100

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1891118428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 GYORR AVE",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772289",
            "telephone_number": "847-695-5100",
            "fax_number": "847-695-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 GYORR AVE",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772289",
            "telephone_number": "847-695-5100",
            "fax_number": "847-695-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. WHITTED DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "WHITTED",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "847-695-5100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027885",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.026132",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "319.018217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750393989",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael J. Whitted & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.