RONALD ANGELO CANNIZZARO DDS
NPI 1154483907
Dentist - Orthodontics and Dentofacial Orthopedics in Willowbrook, IL

Active since December 15, 2006PECOS Enrolled
545 RIDGEMOOR DRIVE, WILLOWBROOK, IL 60527(630) 654-1869(708) 255-5524 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ronald Angelo Cannizzaro Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONALD ANGELO CANNIZZARO DDS (NPI 1154483907) is an individual orthodontics and dentofacial orthopedics provider in Willowbrook, Illinois, licensed in Illinois (021000899) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154483907
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameRONALD ANGELO CANNIZZAROCredential: DDS
Location Address545 RIDGEMOOR DRIVEWillowbrook, IL 60527
Mailing Address545 Ridgemoor DriveWillowbrook, IL 60527 · (630) 654-1869 · Fax (708) 255-5524
Fax(708) 255-5524
Sole ProprietorNo
Enumeration DateDecember 15, 2006
Last NPPES UpdateApril 7, 2020
NPPES CertifiedApril 7, 2020
NPI 1154483907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in IL · 021000899
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License 019014811 (IL)
545 RIDGEMOOR DRIVE, Willowbrook, IL 60527

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ronald Angelo Cannizzaro Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60527 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronald Cannizzaro's NPI number?

The NPI number for Ronald Cannizzaro is 1154483907. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Ronald Cannizzaro located?

Ronald Cannizzaro practices at 545 Ridgemoor Drive, Willowbrook, IL 60527. The listed phone number is (630) 654-1869.

What is Ronald Cannizzaro's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Ronald Cannizzaro enrolled in Medicare?

Yes. Ronald Cannizzaro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ronald Cannizzaro was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.