Active NPI
James D. Papanicolas, D.D.S.
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1053688648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019021831
- Practice address
- 3218 W 115TH St
Chicago, IL 60655-2805 - Phone
- (773) 233-6800
- Fax
- (773) 233-7221
- NPI assigned
- Nov 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019021831 | IL | Primary |
Addresses
Primary practice location
3218 W 115TH St
Chicago, IL 60655-2805
Mailing address
3218 W 115TH St
Chicago, IL 60655-2805
Phone (773) 233-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019021831 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Zlotkowski & Papanicolas, Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1265504757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322265600000",
"number": "1053688648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3218 W 115TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606552805",
"telephone_number": "773-233-6800",
"fax_number": "773-233-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3218 W 115TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606552805",
"telephone_number": "773-233-6800",
"fax_number": "773-233-7221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPANICOLAS",
"first_name": "JAMES",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-26",
"last_updated": "2011-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019021831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.