NPIMap

Organization Active NPI

Marshall Shikami DDS PC

  • Dentist
  • Chicago Heights, IL
National Provider Identifier
1801060421
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019018895 Issued in IL
Legal business name
MARSHALL SHIKAMI DDS PC
Practice address
1526 S Halsted St
Chicago Heights, IL 60411-3523
Phone
(708) 754-1063
Fax
(708) 755-4696
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Dr. Marshall J Shikami, DDSNPI 1760561047
Title
President
Phone
(708) 754-1063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019018895 IL Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

1526 S Halsted St
Chicago Heights, IL 60411-3523

Mailing address

1526 S Halsted St
Chicago Heights, IL 60411-3523
Phone (708) 754-1063

National Provider Directory

National Provider Directory

Locations

1526 S Halsted St
Chicago Heights, IL 60411
Phone (708) 754-1063

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1801060421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 S HALSTED ST",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113523",
            "telephone_number": "708-754-1063",
            "fax_number": "708-755-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 S HALSTED ST",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113523",
            "telephone_number": "708-754-1063",
            "fax_number": "708-755-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL SHIKAMI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "SHIKAMI",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-754-1063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019018895",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.