Active NPI
Dikran Kirilescu Jr., D.D.S.
- Dentist
- Northfield, IL
National Provider Identifier
1316251606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.028396
- Practice address
- 281 Waukegan Rd
Northfield, IL 60093-2718 - Phone
- (847) 446-7200
- NPI assigned
- Jul 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.028396 | IL | Primary |
Addresses
Primary practice location
281 Waukegan Rd
Northfield, IL 60093-2718
Mailing address
2520 Versailles Ave
Apt. 102
Naperville, IL 60540
Phone (631) 697-6967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160608001756 | OH | Order and Referring Only - Other (Physician) | 3274823943 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.028396 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1316251606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 VERSAILLES AVE",
"address_2": "APT. 102",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60540",
"telephone_number": "631-697-6967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 WAUKEGAN RD",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600932718",
"telephone_number": "847-446-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRILESCU",
"first_name": "DIKRAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-29",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.028396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.