Individual provider Active NPI

Bohdan Bilas, DDS

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1487728697
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
2226 W Chicago Ave Ste 1F
Chicago, IL 60622-7501
Phone
(773) 278-8380
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

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

Addresses

Primary practice location

2226 W Chicago Ave Ste 1F
Chicago, IL 60622-7501

Mailing address

2226 W Chicago Ave Ste 1F
Chicago, IL 60622-7501
Phone (773) 278-8380

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
I20160505000828 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1658670161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487728697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 W CHICAGO AVE STE 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227501",
            "telephone_number": "773-278-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 W CHICAGO AVE STE 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227501",
            "telephone_number": "773-278-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILAS",
        "first_name": "BOHDAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.