Nicholas Elias Panomitros, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019021713 Issued in IL

Practice address

1918 S Blue Island Ave
Chicago, IL 60608-3015

Phone

(312) 733-3343

Fax

(312) 243-9868

NPI assigned

Jul 16, 2008

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

Not listed in the public Medicare enrollment file

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.

• Chicago All Care Dental Group, LTD.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1740308006
  NPD (past) Authorized official

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1114181310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 08404",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606080404",
            "telephone_number": "312-733-3343",
            "fax_number": "312-243-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 S BLUE ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083015",
            "telephone_number": "312-733-3343",
            "fax_number": "312-243-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOMITROS",
        "first_name": "NICHOLAS",
        "middle_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019021713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvana Pannain
• Amy L Pannaralla
• Janet Pannaralla, D.D.S.
• Parambathu Cynthia Nambiar Panniyoth Valiya
• Amy L Panoka, PT
• Panos Dentistry Center
• Panos Dentistry Center Inc.
• Angelo Panos, DDS
• Ariella Panos, PA-C
• Katerina Panos

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 16, 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.