Active NPI
Hazel Macanip, DDS
- General Practice Dentistry
- Romeoville, IL
National Provider Identifier
1942462296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- J19-025620
- Practice address
- 441 N Weber Rd
Romeoville, IL 60446-3972 - Phone
- (815) 372-0100
- Fax
- (815) 372-0300
- NPI assigned
- Jun 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | J19-025620 | IL | Primary |
Addresses
Primary practice location
441 N Weber Rd
Romeoville, IL 60446-3972
Mailing address
441 N Weber Rd
Romeoville, IL 60446-3972
Phone (815) 372-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J19-025620 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214524800000",
"number": "1942462296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 N WEBER RD",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "604463972",
"telephone_number": "815-372-0100",
"fax_number": "815-372-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 N WEBER RD",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "604463972",
"telephone_number": "815-372-0100",
"fax_number": "815-372-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACANIP",
"first_name": "HAZEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-27",
"last_updated": "2008-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "J19-025620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Romeoville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.