NPIMap

Organization Active NPI

Zieba Dentistry Round Lake Beach, LTD.

  • Dental Clinic/Center
  • Round Lake Beach, IL
National Provider Identifier
1992279467
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ZIEBA DENTISTRY ROUND LAKE BEACH, LTD.
Practice address
2 E Rollins Rd Ste 202
Round Lake Beach, IL 60073-3809
Phone
(847) 546-5550
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Mark Zieba, DDS
Title
President
Phone
(847) 727-4077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2 E Rollins Rd Ste 202
Round Lake Beach, IL 60073-3809

Mailing address

1259 N Wood St Apt 406
Chicago, IL 60622-8800
Phone (847) 727-4077

Other names 1

  • Reilly & Siegel Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2 E Rollins Rd
Ste 202
Round Lake Beach, IL 60073
Phone (847) 546-5550

Practitioners & affiliated clinicians

Practitioners 2

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": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1992279467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 N WOOD ST APT 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228800",
            "telephone_number": "847-727-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E ROLLINS RD STE 202",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600733809",
            "telephone_number": "847-546-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIEBA DENTISTRY ROUND LAKE BEACH, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "ZIEBA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-727-4077",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reilly & Siegel Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Lake Beach, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.