Kevin Martin Bargamian, DMD

Primary specialty

DentistTaxonomy code 122300000X

Practice address

13549 South Cicero Avenue
Crestwood, IL 60445

Phone

(708) 388-3200

Fax

(708) 388-8439

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Crestwood Dental and TMJ Care PC

  • Dentist
  • Crestwood, IL
  • NPI 1730556101
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154475630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13549 SOUTH CICERO AVENUE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "60445",
            "telephone_number": "708-388-3200",
            "fax_number": "708-388-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13549 SOUTH CICERO AVENUE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "60445",
            "telephone_number": "708-388-3200",
            "fax_number": "708-388-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGAMIAN",
        "first_name": "KEVIN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clare Arquilla, M.S.
• Patricia Marie Arteaga
• Kristine Asuncion, NP
• Axiom Terrace of Crestwood LLC
• Axiom Terrace of Crestwood LLC
• Julie Barker, P.T.
• Sheila Margaret Barry, M.D./PH.D.
• Deborah A Basile, MD
• Beacon Pace Illinois LLC (BoldAge PACE Illinois)
• Karen Ann Beagles, PMHNP-BC

• Dentist in Crestwood, IL
• Providers in Crestwood, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.