Alexander Reznikov, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019029473 Issued in IL

Practice address

1556 S Michigan Ave
Ste. 110
Chicago, IL 60605-1937

Phone

(312) 588-0043

Fax

(312) 588-0287

NPI assigned

Jun 20, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Alexander Reznikov, DDS, PC

  • Dental Clinic/Center
  • Evergreen Park, IL
  • NPI 1649860149
  NPD Authorized official
• Bucktown Dental Rez, PC

  • Dentist
  • Chicago, IL
  • NPI 1437086394
  NPD Authorized official

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1063851301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 S MICHIGAN AVE",
            "address_2": "STE. 110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051937",
            "telephone_number": "312-588-0043",
            "fax_number": "312-588-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 S MICHIGAN AVE",
            "address_2": "STE. 110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051937",
            "telephone_number": "312-588-0043",
            "fax_number": "312-588-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNIKOV",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Othman Rezki, DMD
• Melinda Rezman, MA
• Joseph Reznicek, MD
• Jane Reznik
• Reznikov Dental, PC
• Abdolmajid T. Rezvan, M.D.
• Rhapsody Behavioral Healthcare
• Mercedes Rhea, LCPC, NCC
• Charles Rhee
• Grace E Rhee

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.