Carlo G Pagni, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

019023991 Issued in IL

Practice address

4435 W 95TH St
Oak Lawn, IL 60453-2625

Phone

(708) 423-5990

Fax

(708) 423-8552

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Practice roles

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.

• Midland Oral Surgery and Implant Centers, LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Oak Lawn, IL
  • NPI 1669480851
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1861400129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532625",
            "telephone_number": "708-423-5990",
            "fax_number": "708-423-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532625",
            "telephone_number": "708-423-5990",
            "fax_number": "708-423-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGNI",
        "first_name": "CARLO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019023991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine O'Grady Owsianiak, PT
• Chiemelie Oziligbo, MD
• P D Medical, S.C.
• Amy Pacella, N.P.
• Mia Janae Padilla
• Jessie Jean Pagotelis, LCSW
• Magdalena Maria Pajak, PT, DPT
• Theresa Palermo, DNP, APRN, NNP-BC
• Thomas Joseph Pallardy, PSY.D.
• Sreya Pallath, MD

• Oral and Maxillofacial Surgery (Dentist) in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.