Peter Alexander Bidny, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Practice address

3001 Green Bay Rd
North Chicago, IL 60064-3048

Phone

(224) 610-3749

Fax

(224) 610-2909

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467464222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 CRAIN ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533038",
            "telephone_number": "224-610-3749",
            "fax_number": "224-610-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643048",
            "telephone_number": "224-610-3749",
            "fax_number": "224-610-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDNY",
        "first_name": "PETER",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Lyn Bertsos
• Cary A Bertucci, RD
• Karin Stefanie Betz, CRC
• Amrit V Bhaskarla, D.O.
• Shruthi Bhuma
• Liz Bien-Aime
• Alisia Big
• Lorraine Black, BCD, CBE, PE, SBD
• Bernhard Emile Blom, PH.D.
• Annette Facinelli Boban, PA-C

• Prosthodontics in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Prosthodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.