Individual provider Active NPI

Georgia Helen Kalkanis, DDS

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1669667432
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-025083 Issued in IL
Practice address
5333 N Clark St
Chicago, IL 60640-2121
Phone
(773) 728-5333
Fax
(773) 739-4300
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-025083 IL Primary

Addresses

Primary practice location

5333 N Clark St
Chicago, IL 60640-2121

Mailing address

5333 N Clark St
Chicago, IL 60640-2121
Phone (773) 728-5333

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
019-025083ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1669667432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402121",
            "telephone_number": "773-728-5333",
            "fax_number": "773-739-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402121",
            "telephone_number": "773-728-5333",
            "fax_number": "773-739-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALKANIS",
        "first_name": "GEORGIA",
        "middle_name": "HELEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-025083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.