Individual provider Active NPI

Dean Danos, DDS

  • Dentist
  • Alton, IL
National Provider Identifier
1609514504
Registry record updated May 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.033587 Issued in IL
Practice address
1809 Homer M Adams Pkwy Ste a
Alton, IL 62002-5606
Phone
(618) 433-3410
NPI assigned
May 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.033587 IL Primary

Addresses

Primary practice location

1809 Homer M Adams Pkwy Ste a
Alton, IL 62002-5606

Mailing address

4437 W 103Rd St
Oak Lawn, IL 60453-4855
Phone (708) 927-4020

Other practice location 1

5101 W 111th St Ste 1W
Alsip, IL 60803-6071
Phone (708) 424-2277

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

LicenseStateTypeSpecialty
019.033587ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1653177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653177600000",
    "number": "1609514504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 W 103RD ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534855",
            "telephone_number": "708-927-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 HOMER M ADAMS PKWY STE A",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025606",
            "telephone_number": "618-433-3410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5101 W 111th St Ste 1W",
            "address_purpose": "LOCATION",
            "city": "Alsip",
            "state": "IL",
            "postal_code": "608036071",
            "country_code": "US",
            "telephone_number": "708-424-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANOS",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-22",
        "last_updated": "2022-05-22",
        "certification_date": "2022-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; 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.