NPIMap

Organization Active NPI

Constantine L. Politis, D.D.S., P.C.

  • Periodontics
  • Oak Park, IL
National Provider Identifier
1184834665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
CONSTANTINE L. POLITIS, D.D.S., P.C.
Practice address
965 Lake St
Suite 6
Oak Park, IL 60301-1292
Phone
(708) 386-8600
Fax
(708) 386-8688
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Constantine L Politis, D.D.S.NPI 1538379193
Title
President
Phone
(708) 386-8600

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X IL Primary

Addresses

Primary practice location

965 Lake St
Suite 6
Oak Park, IL 60301-1292

Mailing address

965 Lake St
Suite 6
Oak Park, IL 60301-1292
Phone (708) 386-8600

National Provider Directory

National Provider Directory

Locations

965 Lake St
Ste 6
Oak Park, IL 60301
Phone (708) 386-8600

Practitioners & affiliated clinicians

Practitioners 1

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184834665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 LAKE ST",
            "address_2": "SUITE 6",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011292",
            "telephone_number": "708-386-8600",
            "fax_number": "708-386-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 LAKE ST",
            "address_2": "SUITE 6",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011292",
            "telephone_number": "708-386-8600",
            "fax_number": "708-386-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANTINE L. POLITIS, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLITIS",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-386-8600",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.