DR. JOHN A. SANIAT D.D.S. NPI 1073687927

Dentist in Wheaton, IL

NPI 1073687927 Individual Male Dentist PECOS Enrolled Opted-Out Medicare

NPI Profile for DR. JOHN A. SANIAT D.D.S.

John Saniat is a provider established in Wheaton, Illinois and his medical specialization is dentist. The NPI number of John Saniat is 1073687927 and was assigned on November 2006. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an individual and his NPI record was last updated 15 years ago.

A dentist like Dr. John A. Saniat D.d.s. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

John Saniat is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)..

John Saniat is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. John Saniat opted out of Medicare effective on 03-01-2014 until 03-01-2024. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

NPI

1073687927

Provider NameDR. JOHN A. SANIAT D.D.S.
Provider Location Address200 E WILLOW AVE #301 WHEATON, IL 60187
Provider Mailing Address200 E WILLOW AVE #301 WHEATON, IL 60187
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date11-20-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code122300000X
ClassificationDentist
TypeDental Providers
License StateIL
Taxonomy DescriptionA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Business Address

DR. JOHN A. SANIAT D.D.S.
200 E WILLOW AVE
#301
WHEATON, IL
ZIP 60187
Phone: (630) 690-3686
Fax: (630) 690-1804

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Mailing Address

DR. JOHN A. SANIAT D.D.S.
200 E WILLOW AVE
#301
WHEATON, IL
ZIP 60187
Phone: (630) 690-3686
Fax: (630) 690-1804



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Opted-Out of MedicareYes
Opt-Out Effective Date03-01-2014
Opt-Out End Date03-01-2024
Eligible to Order and ReferYes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
11223P0300XDental ProvidersDentistPeriodonticsILN/A

Taxonomy Description: that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073687927
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431281494
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 2 + 8 + 1 + 4 + 9 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1073687927 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174595185 LISA K RECHKEMMER D.P.M
Individual
Podiatrist200 E WILLOW AVE
WHEATON, IL 60187
(630) 462-1470
1285606962 FRANK H RUSSO D.P.M.
Individual
Podiatrist200 E WILLOW AVE
WHEATON, IL 60187
(630) 462-1470
1386736510DR. CARLO RODERICK LEON D.C.
Individual
Chiropractor200 E WILLOW AVE SUITE 202
WHEATON, IL 60187
(630) 665-7266
1417046509 MAGNOLIA M. BARBIN LPT
Individual
Physical Therapist200 E WILLOW AVE
WHEATON, IL 60187
(630) 462-1470
1912062969EDWARD R CHAVEZ DDS PC
Organization
Dentist (General Practice)200 E WILLOW AVE SUITE 304
WHEATON, IL 60187
(630) 510-0731
1720111024INSTEP PODIATRY, P.C.
Organization
Podiatrist200 E WILLOW AVE
WHEATON, IL 60187
(630) 462-1470
1497873053MRS. SHARON L. BOBROWSKI MSW, LCSW, MA
Individual
Social Worker (Clinical)200 E WILLOW AVE SUITE 101
WHEATON, IL 60187
(630) 248-9422
1770606196MR. STEVEN J. CASWELL LCSW
Individual
Social Worker (Clinical)200 E WILLOW AVE SUITE 101
WHEATON, IL 60187
(815) 947-3893
1639392384INSTEP PODIATRY, P.C.
Organization
Durable Medical Equipment & Medical Supplies200 E WILLOW AVE
WHEATON, IL 60187
(630) 462-1470
1881870079FORFAR AND ASSOCIATES ORAL SURGERY LTD
Organization
Clinic/Center (Dental)200 E WILLOW AVE SUITE 103
WHEATON, IL 60187
(630) 668-7160
1831428473WHEATON COUSELING CENTER
Organization
Marriage & Family Therapist200 E WILLOW AVE SUITE 101
WHEATON, IL 60187
(630) 665-4141
1346587797DR. EDWARD ROGER CHAVEZ
Individual
Dentist200 E WILLOW AVE SUITE 304
WHEATON, IL 60187
(630) 510-0731
1134261118DR. JILL MARIE CASTLINE DDS
Individual
Dentist200 E WILLOW AVE SUITE 104
WHEATON, IL 60187
(630) 653-0828
1457770893MARK A. LIGOCKI, DDS, PC.
Organization
Clinic/Center (Dental)200 E WILLOW AVE SUITE 203
WHEATON, IL 60187
(630) 665-7400
1053769828 NARINDER VIJ R.PH
Individual
Pharmacist200 E WILLOW AVE SUITE 100
WHEATON, IL 60187
(630) 668-1180
1275754798WELLRX LLC
Organization
Pharmacy200 E WILLOW AVE STE 100
WHEATON, IL 60187
(877) 629-4446
1821008657JUST FOR KIDS PEDIATRICS PC
Organization
Pediatrics200 E WILLOW AVE SUITE 403
WHEATON, IL 60187
(630) 682-1130
1437352515PRISM MEDICAL TECHNOLOGIES
Organization
Durable Medical Equipment & Medical Supplies200 E WILLOW AVE
WHEATON, IL 60187
(630) 462-1470

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. John A. Saniat D.d.s. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.