John Panzica, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.017250 Issued in IL

Practice address

1535 Lake Cook Rd Ste 104
Northbrook, IL 60062-1450

Phone

(847) 498-9767

Fax

(847) 498-9045

NPI assigned

May 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 27, 2016 through Sep 27, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1093916231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E WASHINGTON ST",
            "address_2": "SUITE 2610",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022103",
            "telephone_number": "312-853-3431",
            "fax_number": "312-853-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD STE 104",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621450",
            "telephone_number": "847-498-9767",
            "fax_number": "847-498-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZICA",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.017250",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.017250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@northshoredentists.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1535 Lake Cook Rd Ste 104",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600621450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@northshoredentists.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1535 Lake Cook Rd Ste 104",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600621450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@northshoredentists.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1535 Lake Cook Rd Ste 104",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600621450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Mason Pagett
• Dakota Rose Palmero
• Paige Palombizio
• Pam Meyerson & Associates, P.C.
• Marcia S Pantell, MSW, MPH, LCSW, PHD
• Claire Papandrea
• Drosos Papasotiriou
• Christin Marie Pappas, MA, CCC-SLP
• Siri R Pardo, RBT-19-84155
• Natashza Paredes, RBT-18-73898

• General Practice Dentistry in Northbrook, IL
• Providers in Northbrook, 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 Apr 25, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.