Thomas William Pissios, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

6780 N Northwest Hwy
Chicago, IL 60631-1201

Phone

(773) 792-3200

Fax

(773) 792-3233

NPI assigned

Aug 25, 2007

Last updated

Aug 25, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas W. Pissios DDS, LTD

  dba Edison Park Dental

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1164091864
  NPD Authorized official

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188000000000",
    "number": "1497948186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6780 N NORTHWEST HWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311201",
            "telephone_number": "773-792-3200",
            "fax_number": "773-792-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 N NORTHWEST HWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311201",
            "telephone_number": "773-792-3200",
            "fax_number": "773-792-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISSIOS",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-25",
        "last_updated": "2007-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Pische, DPT
• Daiva Piscikaite, MSW
• Susan Piser, M.A.
• Rohan Pisharody, MD
• Sara Pisoni, DPT
• Lindsay Pistorius, MS, CGC
• Marek J Piszczatowski, FNP
• Rachel A Piszczor, PSY.D.
• Paul Orlando Pita Rivera
• Swati Pitale, PSY.D.

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.