NPIMap

Organization Active NPI

Vincent Zammuto DDS LTD

  • General Practice Dentistry
  • Loves Park, IL
National Provider Identifier
1891910451
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VINCENT ZAMMUTO DDS LTD
Practice address
4001 N Mulford Rd
Loves Park, IL 61111-6949
Phone
(815) 877-6453
Fax
(815) 637-4295
NPI assigned
Apr 17, 2007
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. Vincent Zammuto, DDSNPI 1295952877
Title
President
Phone
(815) 877-6453

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

4001 N Mulford Rd
Loves Park, IL 61111-6949

Mailing address

4001 N Mulford Rd
Loves Park, IL 61111-6949
Phone (815) 877-6453

Other names 1

  • Mulford Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

4001 N Mulford Rd
Loves Park, IL 61111
Phone (815) 877-6453

Practitioners & affiliated clinicians

Practitioners 4

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891910451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N MULFORD RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611116949",
            "telephone_number": "815-877-6453",
            "fax_number": "815-637-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N MULFORD RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611116949",
            "telephone_number": "815-877-6453",
            "fax_number": "815-637-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT ZAMMUTO DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAMMUTO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-877-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mulford Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loves Park, 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.