Mariell Demertzis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033861 Issued in IL

Practice address

4833 Church St
Skokie, IL 60077-1357

Phone

(847) 673-7118

NPI assigned

Jun 30, 2022

Last updated

Jun 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Suburban Dental Associates PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Skokie, IL
  • NPI 1245319607

  General Practice

  NPD (past)
• Webster Dental Care North Suburban LTD

  • General Practice Dentistry
  • Skokie, IL
  • NPI 1982804654
  NPD (past)

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1720710452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N LA SALLE DR APT 4109",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606548537",
            "telephone_number": "224-616-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 CHURCH ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771357",
            "telephone_number": "847-673-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERTZIS",
        "first_name": "MARIELL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanna Delgado-Rodriguez
• Angela Delgiudice, APN-CNP
• Delight Counseling and Consultancy Services
• Georgia D Demarakis, PHARMD
• Steven B Demerer, D.C
• Florina Maria Demian, DMD
• Dempster Medical & Chiropractic Clinic SC
• Denenberg Medical SC
• Ami Denenberg, MSED, EDS
• Jeffrey Henry Denninger, PA-C

• General Practice Dentistry in Skokie, IL
• Providers in Skokie, 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 Jun 30, 2022; 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.