WHEATON PRAIRIE DENTAL LLC (NPI# 1619322773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619322773 |
| Entity Type | Organization |
| Organization Name | WHEATON PRAIRIE DENTAL LLC |
| Practice Address |
610 W Roosevelt Rd Suite A1 Wheaton IL 60187-5087 |
| Mailing Address |
129 S Roselle Rd Suite 102 Schaumburg IL 60193-5540 |
| Practice Telephone | 6303393172 |
| Mailing Telephone | 6303393172 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | ALAN J ACIERNO (MANAGER) |
| Authorized Official Telephone | 6303393172 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305R00000X | Preferred Provider Organization | 019029436 | IL | Managed Care Organizations |
| Y | 305R00000X | Preferred Provider Organization | 019015107 | IL | Managed Care Organizations |
| Street Address |
610 W ROOSEVELT RD SUITE A1 |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-5087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134144371 | Gregory Charles Calleia | Dentist | 610 W Roosevelt Rd, Suite A1, Wheaton, IL 60187-5087 | 2006-07-12 |
| 1720484660 | Diane Lai Sheong Lin | Psychologist | 610 W Roosevelt Rd, Suite B-1, Wheaton, IL 60187-5087 | 2014-11-04 |
| 1306096573 | Daniel Doebler | Counselor | 610 W Roosevelt Rd, Suite B-1, Wheaton, IL 60187-5087 | 2008-09-24 |
| 1063677144 | Warren F. Wakerlin | Dentist | 610 W Roosevelt Rd, Wheaton, IL 60187-5087 | 2008-07-28 |
| 1174718605 | Donna R. Amstutz, P.C. | Community/Behavioral Health | 610 W Roosevelt Rd, Suite D-2, Wheaton, IL 60187-5087 | 2007-09-07 |
| 1861512584 | Josette Nard | Marriage & Family Therapist | 610 W Roosevelt Rd, Suite D2, Wheaton, IL 60187-5087 | 2007-03-29 |
| 1568588861 | Donald Charles Sokoloski | Psychologist | 610 W Roosevelt Rd, Suite D2, Wheaton, IL 60187-5087 | 2007-03-21 |
| 1710023783 | Marvin J. Schwarz | Psychiatry & Neurology | 610 W Roosevelt Rd, Suite D, Wheaton, IL 60187-5087 | 2007-01-29 |
| 1336292358 | Cindy Takiguchi Fuerst | Social Worker | 610 W Roosevelt Rd, Ste B1, Wheaton, IL 60187-5087 | 2007-01-21 |
| 1336299510 | Trevor Brian Simpson | Counselor | 610 W Roosevelt Rd, Wheaton, IL 60187-5087 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992154991 | Demoulin Family Chiropractic, Ltd. | Preferred Provider Organization | 11danada Square East, Wheaton, IL 60189-8484 | 2016-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129625 | Shawnte Jenkins-alexander, Ed.d. Lcpc. Ltd | Preferred Provider Organization | 155 N Michigan Ave Ste 328, Chicago, IL 60601-7591 | 2020-06-18 |
| 1134686439 | Qualsight LLC | Preferred Provider Organization | 9525 Bryn Mawr Ave Ste 725, Rosemont, IL 60018-5262 | 2019-02-23 |
| 1053876367 | Hope Network Foundation | Preferred Provider Organization | 332 S Michigan Ave Ste 10850, Chicago, IL 60604-4434 | 2019-01-31 |
| 1801336441 | Emily Edelman Psychotherapy, An Illinois Corporation | Preferred Provider Organization | 2100 S Marshall Blvd, Apt 804, Chicago, IL 60623-3679 | 2017-03-01 |
| 1821549163 | Family Dental Practice | Preferred Provider Organization | 9709 Milwaukee Ave, Glenview, IL 60025-4567 | 2016-10-21 |
| 1548613094 | Shaunna R Repa | Preferred Provider Organization | 2231 Dawson Ln, Algonquin, IL 60102-5983 | 2016-07-20 |
| 1417308081 | Mother Dearest | Preferred Provider Organization | 14214 Woodlawn Ave, Dolton, IL 60419-1316 | 2016-06-24 |
| 1790131936 | Plainfield Pediatric Dental Care PC | Preferred Provider Organization | 13621 S. Rt 59, Unit 101, Plainfield, IL 60544 | 2016-05-06 |
| 1417310335 | The Metro Mentorship Initiative | Preferred Provider Organization | 1828 N Lowell Ave, Chicago, IL 60639-4818 | 2016-03-29 |
| 1174996466 | Linda Sassone | Preferred Provider Organization | 324 N Taylor Ave, Oak Park, IL 60302-2528 | 2015-11-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WHEATON PRAIRIE DENTAL LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.