NPIMap

Organization Active NPI

Kannout and Arnous Partnership

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1699062059
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
19024870 Issued in IL
Legal business name
KANNOUT AND ARNOUS PARTNERSHIP
Doing business as
PEARL DENTAL
Practice address
4527 N Pulaski Rd
Chicago, IL 60630-4415
Phone
(630) 240-1984
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Dr. Fawaz Kannout, D.D.S
Title
Dentist
Phone
(630) 240-1984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 19024870 IL Primary

Addresses

Primary practice location

4527 N Pulaski Rd
Chicago, IL 60630-4415

Mailing address

4527 N Pulaski Rd
Chicago, IL 60630-4415
Phone (630) 240-1984

Other names 1

  • PEARL DENTAL Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1699062059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304415",
            "telephone_number": "630-240-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304415",
            "telephone_number": "630-240-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANNOUT AND ARNOUS PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "KANNOUT",
        "authorized_official_first_name": "FAWAZ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-240-1984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "19024870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARL DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 6, 2011; 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.