Anthony M Pallotto, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019.028732 Issued in IL

Practice address

18610 Burnham Ave
Lansing, IL 60438-3500

Phone

(708) 228-8224

Fax

(708) 895-1518

NPI assigned

Jul 11, 2011

Last updated

Jul 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Made Dental PC

  • Prosthodontics
  • Highland, IN
  • NPI 1154043297
  Authorized official Same address or phone

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1912295007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18610 BURNHAM AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383500",
            "telephone_number": "708-228-8224",
            "fax_number": "708-895-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 BURNHAM AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383500",
            "telephone_number": "708-228-8224",
            "fax_number": "708-895-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLOTTO",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.028732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Osan-Topala, D.D.S.
• Michele Oswald, D.O.
• Timothy Owen, D.C.
• Cindy Irene Padilla, CNA
• Pallotto Dental Care
• Nicholas J Pallotto, DDS
• Deborah Parra, PEDORTHIST
• Latrice Tonias Pate Oglesby, LCPC
• Patient Plus Homehealth Care Inc.
• Patrick J Honsa DDS

• Dentist in Lansing, IL
• Providers in Lansing, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.