Niki Demakakos-Kasper, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.026998 Issued in IL

Practice address

9055 S Roberts Rd
Hickory Hills, IL 60457-3812

Phone

(312) 909-6454

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Niki Demakakos Former name

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

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518082247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 GREEN VALLEY RD",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605614372",
            "telephone_number": "630-910-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 S ROBERTS RD",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604573812",
            "telephone_number": "312-909-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAKAKOS-KASPER",
        "first_name": "NIKI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.026998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKI",
            "last_name": "DEMAKAKOS",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Teresa Costa, CADC
• Lauren Mary Cummane, MS, CCC-SLP
• Karen Ann Czarnik, C.C.C.-SLP
• Anthony J Dal Ponte, PHARM. D.
• Susan L Dascenzi, LCSW
• Dennis E. Malecki M.D., S.C
• Dentalaveinc
• DGL Pathology Service Corporation
• Nareman Diab, PHARMD
• Mary Ann Dugo, L.C.S.W.

• General Practice Dentistry in Hickory Hills, IL
• Providers in Hickory Hills, 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 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.