John Robert Thodos, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021.0011229 Issued in IL

Practice address

1437 Merchant Dr
Algonquin, IL 60102-5917

Phone

(847) 458-1437

Fax

(847) 458-1628

NPI assigned

Feb 15, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John R. Thodos D.D.S., LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Algonquin, IL
  • NPI 1023316098
  NPD (past) Authorized official
• Robert F Schwartz DDS Ms PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Algonquin, IL
  • NPI 1932616794
  NPD (past)

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1356681118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 MERCHANT DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025917",
            "telephone_number": "847-458-1437",
            "fax_number": "847-458-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 MERCHANT DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025917",
            "telephone_number": "847-458-1437",
            "fax_number": "847-458-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THODOS",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-15",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021.0011229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.