Organization Active NPI

Panos Dentistry Center

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chicago, IL
National Provider Identifier
1316178619
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PANOS DENTISTRY CENTER
Practice address
4849 N Milwaukee Ave Ste 103
Chicago, IL 60630-2171
Phone
(773) 577-2100
NPI assigned
Aug 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Dr. Ernest Panos, DDS
Title
Orthodontist
Phone
(773) 577-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

4849 N Milwaukee Ave Ste 103
Chicago, IL 60630-2171

Mailing address

4849 N Milwaukee Ave Ste 103
Chicago, IL 60630-2171
Phone (773) 577-2100

National Provider Directory

National Provider Directory
Tax ID family
Panos Dentistry Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1316178619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 N MILWAUKEE AVE STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302171",
            "telephone_number": "773-577-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 N MILWAUKEE AVE STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302171",
            "telephone_number": "773-577-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANOS DENTISTRY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "PANOS",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "773-577-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-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 4, 2009; 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.