Individual provider Active NPI

Bogdan Mihai Sinjoanu, DDS

  • Dentist
  • Chicago, IL
National Provider Identifier
1902032410
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019027968 Issued in IL
Practice address
5672 S Archer Ave
Chicago, IL 60638-1641
Phone
(773) 435-9933
NPI assigned
Jun 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019027968 IL Primary

Addresses

Primary practice location

5672 S Archer Ave
Chicago, IL 60638-1641

Mailing address

5672 S Archer Ave
Chicago, IL 60638-1641
Phone (773) 435-9933

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150623000564 IL Order and Referring Only - DentistPractitioner - Dentist 5890006506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ab Dental Professionals LLC Dentist PastSince Nov 3, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1902032410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5672 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381641",
            "telephone_number": "773-435-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5672 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381641",
            "telephone_number": "773-435-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINJOANU",
        "first_name": "BOGDAN",
        "middle_name": "MIHAI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.