John Laftsidis, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

10886 N Il Route 47
Huntley, IL 60142-9717

Phone

(847) 669-6533

Fax

(847) 669-6534

NPI assigned

Feb 26, 2007

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

State licenses

Practice roles

Locations

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.

• Swedish Covenant Management Services, Inc.

  dba Swedish Covenant Medical Group

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1760432348
  Medicare reassignment NPD
• Swedish Covenant Management Services, Inc

  dba Swedish Emergency Medicine

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1962049551
  NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477689917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10886 N IL ROUTE 47",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429717",
            "telephone_number": "847-669-6533",
            "fax_number": "847-669-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10886 N IL ROUTE 47",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429717",
            "telephone_number": "847-669-6533",
            "fax_number": "847-669-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFTSIDIS",
        "first_name": "JOHN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley N Krynski, DNP, CRNA
• Robert J. Kunz, D.C.
• Mavis Enyonam Kwaku
• Krista M Labno, PHARM.D
• Elisa Lackman
• Ashley Marie Lauer
• Matthew Lawson
• John Hochung Lee, M.D.
• Liberated Life Counseling, PLLC
• Life Choice Home Care Inc.

• Dentist in Huntley, IL
• Providers in Huntley, IL by specialty
• Dentist 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.