Organization Active NPI

Lincoln Court Dental, LTD

  • Dental Clinic/Center
  • Skokie, IL
National Provider Identifier
1417128489
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LINCOLN COURT DENTAL, LTD
Practice address
8037 Lincoln Ave
Skokie, IL 60077-3612
Phone
(847) 679-5558
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Richard Randy Mikos, D.D.S.NPI 1649269812
Title
Owner/President
Phone
(847) 679-5558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X IL Primary

Addresses

Primary practice location

8037 Lincoln Ave
Skokie, IL 60077-3612

Mailing address

8037 Lincoln Ave
Skokie, IL 60077-3612
Phone (847) 679-5558

National Provider Directory

National Provider Directory

Locations

8037 Lincoln Ave
Skokie, IL 60077
Phone (847) 679-5558

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1417128489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8037 LINCOLN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773612",
            "telephone_number": "847-679-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8037 LINCOLN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773612",
            "telephone_number": "847-679-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COURT DENTAL, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "MIKOS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RANDY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "847-679-5558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.