Jiana P Panos, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.027686 Issued in IL

Practice address

1583 Huntington Dr
Calumet City, IL 60409-5440

Phone

(708) 818-8090

NPI assigned

Jul 28, 2008

Sex

Female

Sole proprietor

No

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

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1568627776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 HUNTINGTON DR",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 HUNTINGTON DR",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095440",
            "telephone_number": "708-818-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOS",
        "first_name": "JIANA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Oceguera
• Ian Joseph Offord
• Oludele David Olagoke
• On the Spot Transportation Inc.
• Cherechi V Onyenso, FNP
• Prabhakar J Parikh, M.D.
• Sonal Yogendra Parikh, MD
• Bruce A Parisi, M.D.
• Julia Paxton
• Stephanie Pazmino, LPC

• General Practice Dentistry in Calumet City, IL
• Providers in Calumet City, 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 May 18, 2016; 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.