Krikor Papazian

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

8930 Waukegan Rd
Suit 110
Morton Grove, IL 60053-2126

Phone

(847) 967-0400

Fax

(847) 967-0760

NPI assigned

Oct 10, 2005

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Age Dental LLC

  • Dentist
  • Morton Grove, IL
  • NPI 1972776748
  NPD (past) Authorized official
• New Age Dental Holdings, LTD

  dba New Age Dental

  • General Practice Dentistry
  • Morton Grove, IL
  • NPI 1144762709
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073501417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 WAUKEGAN RD",
            "address_2": "SUIT 110",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532126",
            "telephone_number": "847-967-0400",
            "fax_number": "847-967-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 WAUKEGAN RD",
            "address_2": "SUIT 110",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532126",
            "telephone_number": "847-967-0400",
            "fax_number": "847-967-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAZIAN",
        "first_name": "KRIKOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005479",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Ornstein, L.C.S.W.
• Rachel Outten
• Oliver Pacheco, RBT
• Nichelle J Pajeau, P.A.,
• Rohit Pandya, RPH
• Ake Paramadilok
• Lekha Paramben
• Claire Paras
• Priya Pardiwala
• Park Brothers Pain Clinic P.C

• General Practice Dentistry in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.