Organization Active NPI

Pavnica & Maggos, P.C.

  • General Practice Dentistry
  • Carol Stream, IL
National Provider Identifier
1508932187
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PAVNICA & MAGGOS, P.C.
Practice address
26W276 Geneva Rd
Suite E
Carol Stream, IL 60188-2228
Phone
(630) 510-7800
Fax
(630) 510-1491
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Evelyn Maggos, DDSNPI 1275797474
Title
Secretary
Phone
(630) 510-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

26W276 Geneva Rd
Suite E
Carol Stream, IL 60188-2228

Mailing address

26W276 Geneva Rd
Suite E
Carol Stream, IL 60188-2228
Phone (630) 510-7800

Other names 1

  • Park Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

26W276 Geneva Rd
Ste E
Carol Stream, IL 60188
Phone (630) 510-7800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508932187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26W276 GENEVA RD",
            "address_2": "SUITE E",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882228",
            "telephone_number": "630-510-7800",
            "fax_number": "630-510-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26W276 GENEVA RD",
            "address_2": "SUITE E",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882228",
            "telephone_number": "630-510-7800",
            "fax_number": "630-510-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVNICA & MAGGOS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAGGOS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "630-510-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.