Organization Active NPI

Simon Boyarskiy DDS LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Niles, IL
National Provider Identifier
1649038142
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SIMON BOYARSKIY DDS LTD
Practice address
8747 N Oketo Ave
Niles, IL 60714-2068
Phone
(847) 299-9400
Fax
(847) 795-9291
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Simon Boyarskiy, DDSNPI 1447362678
Title
Doctor
Phone
(847) 299-9400

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

8747 N Oketo Ave
Niles, IL 60714-2068

Mailing address

8747 N Oketo Ave
Niles, IL 60714-2068
Phone (847) 299-9400

Other names 1

  • Simon Boyarskiy DDS Ltd Doing business as

National Provider Directory

National Provider Directory

Locations

8747 N Oketo Ave
Niles, IL 60714
Phone (847) 299-9400

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": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1649038142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8747 N OKETO AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142068",
            "telephone_number": "847-299-9400",
            "fax_number": "847-795-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8747 N OKETO AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142068",
            "telephone_number": "847-299-9400",
            "fax_number": "847-795-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON BOYARSKIY DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "BOYARSKIY",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-299-9400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simon Boyarskiy DDS Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.