DR. JAIME ANN PETTENON DMD - NPI 1851788913

Q: What is Jaime Pettenon's NPI number?

The NPI number for Jaime Pettenon is 1851788913. It was assigned to this individual provider in the NPPES registry on April 16, 2015. The provider is also known as Dr. Jaime Ann Chowaniec Dmd.

Q: What is Jaime Pettenon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Jaime Pettenon was last updated on March 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Jaime Ann Pettenon Dmd NPPES

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

DR. JAIME ANN PETTENON DMD (NPI 1851788913) is an individual pediatric dentistry provider in Frankfort, Illinois, licensed in Illinois (019030754) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851788913

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. JAIME ANN PETTENONCredential: DMD

Location Address39 E COLORADO AVEFrankfort, IL 60423-1385

Mailing Address39 E Colorado AveFrankfort, IL 60423-1385 · (708) 789-9289

Phone(708) 789-9289

Sole ProprietorNo

Enumeration DateApril 16, 2015

Last NPPES UpdateMarch 2, 20254 updates tracked since enumeration

NPPES CertifiedMarch 2, 2025

✔ NPI 1851788913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in IL · 019030754

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

39 E COLORADO AVE, Frankfort, IL 60423

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Other Names 1

Former Name (1)Dr. Jaime Ann Chowaniec Dmd

Secondary Practice Locations 2

Location 145 S Park Blvd Ste 105Glen Ellyn, IL 60137-6299 · Phone (630) 858-8755

Location 21740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jaime Ann Pettenon Dmd 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 60423 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.

Other Providers at the Same Location NPPES 9

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

DR. MARISSA DZIEPAK DMD

Dentist (Pediatric Dentistry)