Jaime Ann Pettenon · Jaime Ann Chowaniec · Pediatric Dentist

39 E Colorado Ave, Frankfort, IL 60423-1385

Overview

Jaime Ann Pettenon is a Pediatric Dentist practicing in Frankfort, Illinois. The National Provider Identifier (NPI) is #1851788913, which was assigned on April 16, 2015, and the registration record was last updated on March 2, 2025. The practitioner's main practice location is at 39 E Colorado Ave, Frankfort, IL 60423-1385; the contact telephone number is 7087899289. The primary taxonomy of Jaime Ann Pettenon is Pediatric Dentist (1223P0221X), with specialization in Pediatric Dentistry. Jaime Ann Pettenon is licensed to practice in the state of Illinois (#019030754).

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.

Provider Information

NPI 1851788913
Entity Type Individual
Provider Name DR. JAIME ANN PETTENON
Other Name DR. JAIME ANN CHOWANIEC
(Former Name)
Gender Female
Credential DMD
Other Credential DMD
Practice Address 39 E Colorado Ave
Frankfort
IL 60423-1385
Practice Telephone 7087899289
Mailing Address 39 E Colorado Ave
Frankfort
IL 60423-1385
Mailing Telephone 7087899289
Certification Date 2025-03-02
Enumeration Date 2015-04-16
Last Update Date 2025-03-02
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y1223P0221XDentistPediatric Dentistry019030754IL

Secondary Practice Locations

AddressTelephoneFax
1740 W Taylor St, Chicago, IL 6061272328666002273
45 S Park Blvd Ste 105, Glen Ellyn, IL 6013762996308588755

Taxonomy Information

Primary Taxonomy

Code 1223P0221X
Taxonomy Pediatric Dentist
Classification Dentist
Specialization Pediatric Dentistry
Grouping Dental Providers
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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Restore Skin and Smile Center LLC 4 Calle Comercio, Rincon, PR 00677-2201Pediatric Dentist2025-07-17
Varada Sahasrabudhe 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443Pediatric Dentist2025-07-23
Growing Smiles Pediatric Dentistry PLLC 517 Hammill Lane, Reno, NV 89511-1004Pediatric Dentist2025-08-04
Tooth Buds Pediatric Dentistry LLC 100 Overlook Dr Ste A170, Monroe Township, NJ 08831-5500Pediatric Dentist2025-07-21
Agile Health Investment PLLC 5209 Heritage Ave Ste 100, Colleyville, TX 76034-5996Pediatric Dentist2025-08-04
David E Thome Dds PLLC Li 221 Simpson Park Rd, Shelby, NC 28150-4299Pediatric Dentist2025-08-08
Pediatric Dental of Westchester PLLC 2079 Boston Post Rd, Larchmont, NY 10538-3701Pediatric Dentist2025-07-25
Seal It With A Smile Pediatric Dentistry PLLC 2999 Ne 191st St Ste 708, Aventura, FL 33180-3386Pediatric Dentist2025-07-19
Cascade Kids Dentist 1246 State Ave Ste C, Marysville, WA 98270-3694Pediatric Dentist2025-07-16
David E Thome Dds PLLC Li 401 Attain St Ste 111, Fuquay Varina, NC 27526-2704Pediatric Dentist2025-08-08
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Location Information

Street Address 39 E COLORADO AVE
City FRANKFORT
State IL
Zip Code 60423-1385
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Pivot Assessment Services, PLLC 9645 Lincolnway Ln Ste 214, Frankfort, IL 60423-1913Behavioral Analyst2025-07-10
Hometown Primary Care of Frankfort PLLC 10205 W Lincoln Hwy, Frankfort, IL 60423-1279Psychiatric/Mental Health Nurse Practitioner2022-04-21
Acu Rehab Med PLLC 20500 S La Grange Rd, Frankfort, IL 60423-1356Physical Therapy Clinic/Center2025-05-06
Alyson Kaye Loverde 20855 S Lagrange Rd Ste 100, Frankfort, IL 60423-1342Social Worker2024-10-15
Heartfelt Medical PLLC 20500 N Lagrange Rd Ste 5, Frankfort, IL 60423-1900Urgent Care Clinic/Center2025-03-10
Sherrie Michelle Berry 20550 N Lagrange Rd, Frankfort, IL 60423-1397Clinical Social Worker2010-05-15
Alexandria Roskow 23097 Folkestone Way, Frankfort, IL 60423-1705Clinical Social Worker2025-07-21
Lindsey Mikols 20855 N Lagrange Rd Ste 100, Frankfort, IL 60423-1342Professional Counselor2024-11-07
Stacie Anne Kittler 10221 W Lincoln Hwy, Frankfort, IL 60423-1279Clinical Social Worker2025-07-11
Ann Miria Sajeev 10209 W Lincoln Hwy, Frankfort, IL 60423-1279Psychiatric/Mental Health Nurse Practitioner2024-09-18
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Providers with similar names

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Jaime Arden · Jaime Bomgaars 4050 Airport Center Dr, Suite D, Palm Springs, CA 92264-1216Physical Therapist2006-10-20
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.