John Wazio, D.D.S., M.S., P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021001849 Issued in IL

Legal business name

JOHN WAZIO, D.D.S., M.S., P.C.

Practice address

403 S 3Rd St
St Charles, IL 60174-2824

Phone

(630) 584-6050

Fax

(630) 584-6078

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Wazio Jr., D.D.S., M.S.NPI 1053660035

Title

Doctor

Phone

(630) 879-7774

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• John Wazio Jr., D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St Charles, IL
  • NPI 1053660035
  NPD Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1952513889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S 3RD ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742824",
            "telephone_number": "630-584-6050",
            "fax_number": "630-584-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S 3RD ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742824",
            "telephone_number": "630-584-6050",
            "fax_number": "630-584-6078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 W Wilson St",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "IL",
            "postal_code": "60510",
            "country_code": "US",
            "telephone_number": "630-879-7774",
            "fax_number": "630-584-6078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN WAZIO, D.D.S., M.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-05-10",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "WAZIO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "630-879-7774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021001849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXID#",
            "identifier": "=========",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Levinsky Psy.D. P.C.
• JMG Associates, LLC
• Kimberly Ann Johanson
• John F. Perisin DMD P.C. (St. Charles Family Dentistry)
• John H. Perryman, MD, LLC
• Allison G. Johnsen, M.A., LCPC
• Stephen Charles Johnsen, M.S.
• Britt Johnson-Dunlop, RBT-18-60264
• Brittany Selina Johnson
• Brooke N Johnson, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in St Charles, IL
• Providers in St Charles, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.