Active NPI
Demetrios Michael Sarantopoulos, DDS
- Dentist
- Chicago, IL
National Provider Identifier
1710132824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019027585
- Practice address
- 845 N. Michigan Ave
Ste. 920-W
Chicago, IL 60611 - Phone
- (312) 944-5433
- NPI assigned
- Nov 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019027585 | IL | Primary |
Addresses
Primary practice location
845 N. Michigan Ave
Ste. 920-W
Chicago, IL 60611
Mailing address
3722 S. Harlem Ave.
Ste 203
Riverside, IL 60546
Phone (708) 442-5657
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019027585 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis J. George D.D.S.,PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Chicago, IL
- NPI 1730195496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1710132824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3722 S. HARLEM AVE.",
"address_2": "STE 203",
"city": "RIVERSIDE",
"state": "IL",
"postal_code": "60546",
"telephone_number": "708-442-5657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 N. MICHIGAN AVE",
"address_2": "STE. 920-W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-944-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARANTOPOULOS",
"first_name": "DEMETRIOS",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-18",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019027585",
"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 Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.