Organization Active NPI

Second City Orthodontics, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chicago, IL
National Provider Identifier
1225711864
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SECOND CITY ORTHODONTICS, P.C.
Practice address
111 N Wabash Ave Ste 810
Chicago, IL 60602-1912
Phone
(312) 551-0500
Fax
(312) 372-0165
NPI assigned
Aug 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Dr. Frank L Karkazis, D.D.S.NPI 1922096171
Title
Secretary
Phone
(847) 347-7874

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 Primary

Addresses

Primary practice location

111 N Wabash Ave Ste 810
Chicago, IL 60602-1912

Mailing address

1665 Duffy LN
Bannockburn, IL 60015-1509
Phone (847) 347-7874

Other practice location 1

1029 Howard St Ste 201
Evanston, IL 60202-3877
Phone (847) 491-0660

National Provider Directory

National Provider Directory

Locations

111 N Wabash Ave
Ste 810
Chicago, IL 60602
Phone (312) 551-0500

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": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1225711864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 DUFFY LN",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151509",
            "telephone_number": "847-347-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 810",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021912",
            "telephone_number": "312-551-0500",
            "fax_number": "312-372-0165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1029 Howard St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602023877",
            "country_code": "US",
            "telephone_number": "847-491-0660",
            "fax_number": "847-869-5857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SECOND CITY ORTHODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "KARKAZIS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "847-347-7874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.