Organization Active NPI

Oak Lawn Dental Care, PC

  • Dentist
  • Oak Lawn, IL
National Provider Identifier
1013301431
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019019849 Issued in IL
Legal business name
OAK LAWN DENTAL CARE, PC
Practice address
9101 S Cicero Ave
Oak Lawn, IL 60453-1804
Phone
(708) 425-9101
NPI assigned
Mar 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alexander Alemis, DDS
Title
President
Phone
(773) 978-7801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019019849 IL Primary

Addresses

Primary practice location

9101 S Cicero Ave
Oak Lawn, IL 60453-1804

Mailing address

9101 S Cicero Ave
Oak Lawn, IL 60453-1804
Phone (708) 425-9101

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1013301431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531804",
            "telephone_number": "708-425-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531804",
            "telephone_number": "708-425-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK LAWN DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "ALEMIS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-978-7801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019019849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.