Nicholas Greico, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019035264 Issued in IL

Practice address

1576 W Lake St Ste 102
Addison, IL 60101-1861

Phone

(630) 250-0333

Fax

(630) 250-0903

NPI assigned

Jun 27, 2024

Sex

Male

Sole proprietor

Yes

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Essence, LTD

  • General Practice Dentistry
  • Addison, IL
  • NPI 1821765751
  NPD

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1881439370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 W LAKE ST STE 102",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011861",
            "telephone_number": "630-250-0333",
            "fax_number": "630-250-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 W LAKE ST STE 102",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011861",
            "telephone_number": "630-250-0333",
            "fax_number": "630-250-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREICO",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019035264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Haven Senior Living LLC (Golden Haven Senior Living)
• Golden Touch Home Care LLC
• Good Samaritan Home Health Services, Inc.
• Kathy Goss
• Tyli Montanna Greathouse
• Paul N Greico, DDS
• Bonnie Grothe
• Amanda Guida, M.A. CCC-SLP/L
• Hazel Guyod
• H Demitri Medical SC

• Dentist in Addison, IL
• Providers in Addison, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.