John G. Ifantis, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOHN G. IFANTIS, DDS, PC

Practice address

9251 Waukegan Rd
Morton Grove, IL 60053-2102

Phone

(847) 663-0003

Fax

(847) 663-0390

NPI assigned

Oct 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John Ifantis, DDSNPI 1134274657

Title

Office Manager

Phone

(847) 663-0003

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ifantis Dental Care Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John G. Ifantis, D.D.S., P.C.

  • General Practice Dentistry
  • Morton Grove, IL
  • NPI 1134274657
  NPD (past) Authorized official
• Monika Singh

  • General Practice Dentistry
  • Evanston, IL
  • NPI 1821558974
  NPD (past)

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1891245015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9251 WAUKEGAN RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532102",
            "telephone_number": "847-663-0003",
            "fax_number": "847-663-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9251 WAUKEGAN RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532102",
            "telephone_number": "847-663-0003",
            "fax_number": "847-663-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G. IFANTIS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "IFANTIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-663-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019024881",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ifantis Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lukasz Jarosinski, PTA
• Tetiana Anna Jastrembsky
• Denise Jimenez
• Matthew Jimenez, MD
• Shirin Zohaib Jiva
• Joby John, DPT
• Chelsea Jones, D.D.S
• Sharday Nicole Jones
• Deborah Marie Jost-Beauford, LCPC
• John J Joyce, M.D.

• General Practice Dentistry in Morton Grove, IL
• Providers in Morton Grove, 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 Oct 12, 2016; 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.