Individual provider Active NPI

Theodore Damas, D.D.S.

  • Endodontics
  • Glenview, IL
National Provider Identifier
1437332277
Registry record updated Dec 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Practice address
1775 Glenview Rd
Suite 208
Glenview, IL 60025-2956
Phone
(847) 729-8400
NPI assigned
Dec 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X IL Primary

Addresses

Primary practice location

1775 Glenview Rd
Suite 208
Glenview, IL 60025-2956

Mailing address

1775 Glenview Rd
Suite 208
Glenview, IL 60025-2956
Phone (847) 729-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
021.002236ILMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Endodontics of Glenview, LTD Endodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1197763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197763200000",
    "number": "1437332277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 GLENVIEW RD",
            "address_2": "SUITE 208",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252956",
            "telephone_number": "847-729-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 GLENVIEW RD",
            "address_2": "SUITE 208",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252956",
            "telephone_number": "847-729-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMAS",
        "first_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-16",
        "last_updated": "2007-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2007; 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.