Cleo Stephanides Cheney, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033150 Issued in IL

Practice address

1100 Lake St Ste 140
Oak Park, IL 60301-6712

Phone

(708) 383-1234

NPI assigned

Nov 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Cleo Danuta Stephanides Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Dr. Lawrence R. Fine D.D.S. and Assoicates, LTD.

  • General Practice Dentistry
  • Oak Park, IL
  • NPI 1134299860
  NPD
• Jeremy B Mahoney DMD LLC

  • Dental Clinic/Center
  • West Jordan, UT
  • NPI 1770152985
  NPD (past)

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1821501495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LAKE ST STE 140",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603016712",
            "telephone_number": "708-383-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAKE ST STE 140",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603016712",
            "telephone_number": "708-383-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENEY",
        "first_name": "CLEO",
        "middle_name": "STEPHANIDES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "10743908-9922",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLEO",
            "last_name": "STEPHANIDES",
            "middle_name": "DANUTA",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Chelsea Jones, DDS, P.C
• Linda Chen, DO
• Sherine Cherian
• Vivek Cherian, MD
• Briana Chernak
• Megan Esperanza Chesebro
• Chicago Center for Psychotherapy LLC

• General Practice Dentistry in Oak Park, IL
• Providers in Oak Park, 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 27, 2021; 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.