Joseph Canzona DDS MD LTD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

36064858 Issued in IL

Legal business name

JOSEPH CANZONA DDS MD LTD

Practice address

2500 Ridge Avenue
Suite 302
Evanston, IL 60201-2477

Phone

(847) 328-8899

Fax

(847) 328-3545

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joseph E Canzona, D.D.S, M.S., M.D.NPI 1265411276

Title

Owner

Phone

(847) 328-8899

Specialties & licenses 1

Addresses

Practitioners 2

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

• Joseph E Canzona, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Evanston, IL
  • NPI 1265411276
  NPD (past) Authorized official
• Alan Andreas Harvey, D.M.D.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Evanston, IL
  • NPI 1851551642
  NPD (past)

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1104099324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVENUE",
            "address_2": "SUITE 302",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012477",
            "telephone_number": "847-328-8899",
            "fax_number": "847-328-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVENUE",
            "address_2": "SUITE 302",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012477",
            "telephone_number": "847-328-8899",
            "fax_number": "847-328-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH CANZONA DDS MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "CANZONA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-328-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S, M.S., M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "36064858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Clenell Jones
• Joni Lamb Therapy, LLC
• Jorge Alberto Kurganoff MD and Associates, S.C.
• Jorge Kurganoff, M.D.
• Kate Marie Jorgensen, APN-CNP
• Joseph L. Flint, PLLC
• Monica A Joseph-Griffin, MD
• Alexis Joseph, MS CF-SLP
• Denise Joseph, M.S.
• Neethu Joseph, PA-C

• Medical Specialty Clinic/Center in Evanston, IL
• Providers in Evanston, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.