Lincoln Cosmetic Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019016806 Issued in IL

Legal business name

LINCOLN COSMETIC DENTISTRY LLC

Practice address

5962 N Lincoln Ave Ste 10
Chicago, IL 60659-3762

Phone

(773) 878-3168

Fax

(773) 878-3317

NPI assigned

Feb 2, 2013

Organization subpart

No

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

Authorized official

Name

Katherine GerginisNPI 1780866822

Title

Owner

Phone

(773) 878-3168

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Gerginis, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1780866822
  NPD (past) Authorized official

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

{
    "created_epoch": "1359763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359763200000",
    "number": "1710226386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 N LINCOLN AVE STE 10",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593762",
            "telephone_number": "773-878-3168",
            "fax_number": "773-878-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 N LINCOLN AVE STE 10",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593762",
            "telephone_number": "773-878-3168",
            "fax_number": "773-878-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COSMETIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-02",
        "last_updated": "2013-02-02",
        "status": "A",
        "authorized_official_last_name": "GERGINIS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-878-3168"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019016806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina L. Linboom, LCSW
• Lincare Inc
• Richard Vincent M Linchangco, MD
• Alexandra Linchevskaya, M.D.
• Lincoln Advanced Diagnostics, LLC
• Lincoln Dental Family Center
• Lincoln Dental Group
• Lincoln Health & Wellness Center, LTD.
• Lincoln Healthcare Inc
• Lincoln Medical Center, PC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2013; 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.