Organization Active NPI

John Katsis D.D.S., LTD.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bartlett, IL
National Provider Identifier
1194194639
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
019016097 Issued in IL
Legal business name
JOHN KATSIS D.D.S., LTD.
Practice address
110 S Oak Ave
Bartlett, IL 60103-6621
Phone
(630) 894-5557
NPI assigned
Sep 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Dr. John Katsis Jr., D.D.S., M.S.NPI 1861546392
Title
Orthodontist / Owner
Phone
(630) 894-5557

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 019016097 IL Primary

Addresses

Primary practice location

110 S Oak Ave
Bartlett, IL 60103-6621

Mailing address

110 S Oak Ave
Bartlett, IL 60103-6621
Phone (630) 894-5557

Other names 1

  • John Katsis Jr. D.D.S. Other name

National Provider Directory

National Provider Directory

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": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1194194639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S OAK AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601036621",
            "telephone_number": "630-894-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S OAK AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601036621",
            "telephone_number": "630-894-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KATSIS D.D.S., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "KATSIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ORTHODONTIST / OWNER",
        "authorized_official_telephone_number": "630-894-5557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019016097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Katsis Jr. D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.