James A Zajac, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.020119 Issued in IL

Practice address

518 Ogden Ave
Downers Grove, IL 60515-3064

Phone

(630) 271-0300

NPI assigned

Jan 6, 2007

Reactivated

Mar 16, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Argueta Dental, PC

  dba Ogden Dental Studio

  • Dentist
  • Downers Grove, IL
  • NPI 1114337862
  NPD (past)

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1912055179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 LONGMEADOW RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152329",
            "telephone_number": "630-964-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153064",
            "telephone_number": "630-271-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJAC",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "deactivation_date": "2021-03-05",
        "reactivation_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.020119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL SERVICES",
            "identifier": "101560",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yourthodontist Limited
• Sarah Yousif
• Z. Syed, M.D.
• Zachary T Frazier DDS PC (Zach Frazier Orthodontics)
• Malgorzata Zajac-Krupinski, PTA
• Joseph Michael Zajac, DDS
• Emily Zajda, AMFT
• Haley Brielle Zak
• Caitlin Zaremba
• Kristen M Zdany, DNP

• General Practice Dentistry in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.