NPIMap

Organization Active NPI

Maria Faklaris D.D.S.,P.C.

  • General Practice Dentistry
  • South Elgin, IL
National Provider Identifier
1194891085
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019020173 Issued in IL
Legal business name
MARIA FAKLARIS D.D.S.,P.C.
Practice address
319 Randall Rd
South Elgin, IL 60177-2248
Phone
(847) 622-1095
Fax
(847) 622-1097
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Maria Faklaris, D.D.S.NPI 1972678860
Title
Owner
Phone
(847) 622-1095

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019020173 IL Primary

Addresses

Primary practice location

319 Randall Rd
South Elgin, IL 60177-2248

Mailing address

319 Randall Rd
South Elgin, IL 60177-2248
Phone (847) 622-1095

National Provider Directory

National Provider Directory

Locations

319 Randall Rd
South Elgin, IL 60177
Phone (847) 622-1095

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": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1194891085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 RANDALL RD",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772248",
            "telephone_number": "847-622-1095",
            "fax_number": "847-622-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 RANDALL RD",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772248",
            "telephone_number": "847-622-1095",
            "fax_number": "847-622-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA FAKLARIS D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "FAKLARIS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-622-1095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019020173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.