DR. RONNIE A ATA DDS
NPI 1629569546
Dentist in Blue Island, IL

Active since May 25, 2018
12601 WESTERN AVE STE B, BLUE ISLAND, IL 60406(708) 293-1903(708) 293-1909 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2021, May 25, 2018 (2 updates tracked since 2018).

About Dr. Ronnie A Ata Dds NPPES

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

DR. RONNIE A ATA DDS (NPI 1629569546) is an individual dentist in Blue Island, Illinois, licensed in Illinois (019.031817) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1629569546
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RONNIE A ATACredential: DDS
Location Address12601 WESTERN AVE STE BBlue Island, IL 60406-1777
Mailing Address12601 Western Ave Ste BBlue Island, IL 60406-1777 · (708) 293-1903
Fax(708) 293-1909
Sole ProprietorNo
Enumeration DateMay 25, 2018
Last NPPES UpdateSeptember 9, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
NPI 1629569546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 019.031817
Definition
A 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.
12601 WESTERN AVE STE B, Blue Island, IL 60406

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
12601 WESTERN AVE STE B
BLUE ISLAND, IL 60406

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 Ronnie Ata's NPI number?

The NPI number for Ronnie Ata is 1629569546. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Where is Ronnie Ata located?

Ronnie Ata practices at 12601 Western Ave Ste B, Blue Island, IL 60406. The listed phone number is (708) 293-1903.

What is Ronnie Ata's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Ronnie Ata accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Ronnie Ata as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ronnie Ata was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.