Active NPI
John Christopher Neis, DMD
- General Practice Dentistry
- Melrose Park, IL
National Provider Identifier
1497277974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.031254
- Practice address
- 3521 W Lake St
Melrose Park, IL 60160-2825 - Phone
- (708) 865-1214
- NPI assigned
- Jul 17, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.031254 | IL | Primary |
Addresses
Primary practice location
3521 W Lake St
Melrose Park, IL 60160-2825
Mailing address
1275 W Lake St Apt 304
Addison, IL 60101-5762
Phone (630) 212-7298
Other practice location 1
545 S York Rd Ste 200
Bensenville, IL 60106-3000
Phone (630) 766-0115
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.031254 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William J. Wash DDS LTD. | General Practice | Past | Accepting new patients |
| Prosperritta Dental, PLLC | General Practice | Past | Accepting new patients |
| George D Di Tola DDS LTD | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dentist
- Melrose Park, IL
- NPI 1598746364
-
- General Practice Dentistry
- Bensenville, IL
- NPI 1255090734
-
- General Practice Dentistry
- Bensenville, IL
- NPI 1447509716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1497277974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 W LAKE ST APT 304",
"city": "ADDISON",
"state": "IL",
"postal_code": "601015762",
"telephone_number": "630-212-7298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 W LAKE ST",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601602825",
"telephone_number": "708-865-1214"
}
],
"practiceLocations": [
{
"address_1": "545 S York Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Bensenville",
"state": "IL",
"postal_code": "601063000",
"country_code": "US",
"telephone_number": "630-766-0115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEIS",
"first_name": "JOHN",
"middle_name": "CHRISTOPHER",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.031254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.