Vasilios S. Panos, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019-022204 Issued in IL

Practice address

2208 Midwest Rd
Oak Brook, IL 60523-1277

Phone

(630) 954-4747

NPI assigned

Oct 4, 2013

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

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 Jan 29, 2023 through Jan 29, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: vpanos19775@direct.midwestern.edu

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.

• Oak Brook Dental Associates

  • General Practice Dentistry
  • Oak Brook, IL
  • NPI 1699911271
  NPD (past) Authorized official

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1164859161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 MIDWEST RD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231277",
            "telephone_number": "630-954-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 MIDWEST RD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231277",
            "telephone_number": "630-954-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOS",
        "first_name": "VASILIOS",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-022204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S Palo, D.D.S.,M.S.
• Jigar Panchal, PT
• Gulshan E Pandya, OT
• George Emmanuel Paniotte, M.D.
• George S. Panos, D.D.S.
• Sophia Papageorge-Karvelas, LCPC
• Peter Papagiannopoulos, M.D.
• Jenny Park, O.D.
• Meejung Jane Park, P.T.
• Parungao Plastic Surgery, SC

• Dentist in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.