Alexander Reznikov, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ALEXANDER REZNIKOV, DDS, PC

Doing business as

John Brendich Dental

Practice address

9825 S Pulaski Rd Ste 1
Evergreen Park, IL 60805-3385

Phone

(708) 424-1400

NPI assigned

Jan 19, 2021

Last updated

Jan 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Reznikov, DDSNPI 1063851301

Title

President

Phone

(312) 588-0043

Specialties & licenses 1

Addresses

Other names 1

• John Brendich Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Reznikov, D.D.S.

  • Dentist
  • Chicago, IL
  • NPI 1063851301
  NPD Authorized official

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1649860149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 WILDBERRY DR UNIT A",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251794",
            "telephone_number": "847-877-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 S PULASKI RD STE 1",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053385",
            "telephone_number": "708-424-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER REZNIKOV, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "REZNIKOV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-588-0043",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Brendich Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nouri Al-Khaled, M.D.
• Nada Alaraj
• Mary Alberts, FNP
• Aditra Allison Albright, LCPC
• Constantine Alemis, DDS
• Samantha Louise Allen, MSW, LCSW
• Abdallah Altarshan, MD
• Alzein Medical LTD (Alzein Pediatrics)
• Hassan Alzein, M.D.
• Am PM Home Healthcare Services LLC

• Dental Clinic/Center in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.