Individual provider Active NPI

Peter A. Contos, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1477606234
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019026750 Issued in IL
Practice address
6428 N California Ave
Chicago, IL 60645-5209
Phone
(773) 973-0531
Fax
(773) 262-9850
NPI assigned
Jan 18, 2007
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6639 WI
General Practice Dentistry 1223G0001X 019026750 IL Primary

Addresses

Primary practice location

6428 N California Ave
Chicago, IL 60645-5209

Mailing address

833 Chatham Rd
Glenview, IL 60025-4405
Phone (847) 804-9429

Other identifiers 1

IdentifierTypeStateIssuer
9179859MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160308000754 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5597061168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6639WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Sinis DMD LTD General Practice Past Accepting new patients
Wisconsin Mobile Dental Care LLC PastSince Dec 6, 2022 Accepting new patients

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1477606234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHATHAM RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254405",
            "telephone_number": "847-804-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606455209",
            "telephone_number": "773-973-0531",
            "fax_number": "773-262-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTOS",
        "first_name": "PETER",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6639",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9179859",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.