Active NPI
Pdanpc
- General Practice Dentistry
- Evanston, IL
National Provider Identifier
1306469754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PDANPC
- Doing business as
- PDANPC
- Practice address
- 1029 Howard St Ste 201
Evanston, IL 60202-3877 - Phone
- (847) 491-0660
- Fax
- (847) 869-5858
- NPI assigned
- May 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank L. Karkazis, D.D.S.
- Title
- President
- Phone
- (847) 491-0660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1029 Howard St Ste 201
Evanston, IL 60202-3877
Mailing address
1029 Howard St Ste 201
Evanston, IL 60202-3877
Phone (847) 491-0660
Other names 1
- PDANPC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589932800000",
"number": "1306469754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 HOWARD ST STE 201",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023877",
"telephone_number": "847-491-0660",
"fax_number": "847-869-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 HOWARD ST STE 201",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023877",
"telephone_number": "847-491-0660",
"fax_number": "847-869-5858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PDANPC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-20",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A",
"authorized_official_last_name": "KARKAZIS",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-491-0660",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PDANPC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.