Steve James Kleronomos, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019019657 Issued in IL

Practice address

8301 S Brandon Ave
Chicago, IL 60617-2656

Phone

(773) 375-6199

NPI assigned

Nov 20, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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

• Sjnomos

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1447569439
  NPD (past) Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881768729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 KILPATRICK AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763013",
            "telephone_number": "847-677-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 S BRANDON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172656",
            "telephone_number": "773-375-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLERONOMOS",
        "first_name": "STEVE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002547",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dahlia Klepac, MS, CCC-SLP
• Rachel Klepacz, PHARMD
• Emily Joy Klepitsch, DNP
• Ethan Tyler Klepitsch, MD
• Corie Marie Klepper, MD
• Michaela Ann Klesitz, MD
• Jennifer Klesman-Watring, LCSW
• Kathy Kleszcz, NP-C
• Morris Kletzel, MD
• Miriam Klevan, LCSW

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.