NPIMap

Organization Active NPI

Kotis and Kanellos LTD

  • Dentist
  • Chicago, IL
National Provider Identifier
1104086008
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
060.005824 Issued in IL
Legal business name
KOTIS AND KANELLOS LTD
Practice address
9206 S Commercial Ave
Chicago, IL 60617-4508
Phone
(773) 978-4447
Fax
(773) 978-7662
NPI assigned
Jun 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. James P Kanellos, DDSNPI 1255322038
Title
Dentist/Owner
Phone
(773) 978-4447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 060.005824 IL Primary

Addresses

Primary practice location

9206 S Commercial Ave
Chicago, IL 60617-4508

Mailing address

9206 S Commercial Ave
Chicago, IL 60617-4508
Phone (773) 978-4447

Other names 1

  • Par Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9206 S Commercial Ave
Chicago, IL 60617
Phone (773) 978-0707

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1104086008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9206 S COMMERCIAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174508",
            "telephone_number": "773-978-4447",
            "fax_number": "773-978-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9206 S COMMERCIAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174508",
            "telephone_number": "773-978-4447",
            "fax_number": "773-978-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTIS AND KANELLOS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "KANELLOS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "773-978-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "060.005824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Par Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 13, 2008; 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.