Dr Carl L Cheeks DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019012837 Issued in IL

Legal business name

DR CARL L CHEEKS DDS PC

Practice address

1626 Darrow Ave
Evanston, IL 60201-3418

Phone

(847) 869-9708

Fax

(847) 869-9715

NPI assigned

Jan 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Carl L CheeksNPI 1053369363

Title

Dr

Phone

(847) 869-9708

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Carl Levan Cheeks, DDS

  • General Practice Dentistry
  • Evanston, IL
  • NPI 1053369363
  NPD (past) Authorized official

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1952648990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 DARROW AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013418",
            "telephone_number": "847-869-9708",
            "fax_number": "847-869-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 DARROW AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013418",
            "telephone_number": "847-869-9708",
            "fax_number": "847-869-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CARL L CHEEKS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "CHEEKS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "847-869-9708",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019012837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12837",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Evanston, IL
• Providers in Evanston, 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 Jan 30, 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.