Chicago All Care Dental Group, LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHICAGO ALL CARE DENTAL GROUP, LTD.

Practice address

1918 S Blue Island Ave
Chicago, IL 60608-3015

Phone

(312) 733-3343

Fax

(312) 243-9868

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Elias Panomitros II, D.D.S.NPI 1114181310

Title

Dentist

Phone

(312) 733-3343

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.

• Nicholas Elias Panomitros, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1114181310
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740308006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 08404",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606080404",
            "telephone_number": "312-733-3343",
            "fax_number": "312-243-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 S BLUE ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083015",
            "telephone_number": "312-733-3343",
            "fax_number": "312-243-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO ALL CARE DENTAL GROUP, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANOMITROS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "312-733-3343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 22, 2020; 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.