Organization Active NPI

Diamantakos DDS Wheaton PC

  • Dental Clinic/Center
  • Wheaton, IL
National Provider Identifier
1821266503
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DIAMANTAKOS DDS WHEATON PC
Practice address
108 E Wakeman Ave
Wheaton, IL 60187-3662
Phone
(630) 668-5251
NPI assigned
Feb 14, 2008
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Dr. Diametrios Diamantakos, D D S
Title
President
Phone
(630) 668-5251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X IL Primary

Addresses

Primary practice location

108 E Wakeman Ave
Wheaton, IL 60187-3662

Mailing address

108 E Wakeman Ave
Wheaton, IL 60187-3662
Phone (630) 668-5251

National Provider Directory

National Provider Directory

Locations

108 Wakeman Ave
Wheaton, IL 60187
Phone (630) 668-5251

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1821266503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E WAKEMAN AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873662",
            "telephone_number": "630-668-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E WAKEMAN AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873662",
            "telephone_number": "630-668-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMANTAKOS DDS WHEATON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "DIAMANTAKOS",
        "authorized_official_first_name": "DIAMETRIOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-668-5251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D D S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.