Peter J. Bacos D.D.S.& Beth M Nelson D.D.S.,LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PETER J. BACOS D.D.S.& BETH M NELSON D.D.S.,LTD.

Practice address

7635 W Addison St
Chicago, IL 60634-3124

Phone

(773) 625-6838

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Beth M Nelson, DDSNPI 1003988551

Title

President

Phone

(773) 625-6838

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beth M Nelson, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1003988551
  NPD (past) Authorized official
• Peter J Bacos, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1497827943
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285707307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7635 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343124",
            "telephone_number": "773-625-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7635 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343124",
            "telephone_number": "773-625-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J. BACOS D.D.S.& BETH M NELSON D.D.S.,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-625-6838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Petenzi, DPM
• Peter Akerele
• Peter Beer Therapy PLLC
• Peter D. Geldner, M.D. S.C.
• Peter J Hammes DDS PC
• Peter Platten PLLC
• Peter S. Petrovas D.C. L.T.D.
• Peter Sternberg, L.C.S.W., P.C.
• Peter William McManus, D.C. LLC
• Lily Peter, L.C.S.W.

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• 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.