Crestwood Dental Care PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CRESTWOOD DENTAL CARE PC

Practice address

14301 Cicero Ave
Crestwood, IL 60445-2549

Phone

(708) 388-4301

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Alexander Alemis, DDS

Title

President

Phone

(773) 978-7801

Specialties & licenses 1

Addresses

Other names 1

• Family Dental Care Doing business as

Locations

Practitioners 1

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

• Alex G Alemis, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1548483746
  NPD

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1972151694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604452549",
            "telephone_number": "708-388-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604452549",
            "telephone_number": "708-388-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "ALEMIS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-978-7801",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Ann Connelly, MS SLP/CCC
• Crestwood Associated Medical Center LTD
• Crestwood Care Centre LP
• Crestwood Chiropractic and Rehab
• Crestwood Dental and TMJ Care PC
• Crestwood Medical Associates LTD
• Crestwood Rehabilitation Center LLC
• Crestwood Terrace Operator LLC
• CT Care, LLC
• Diana Daley, COTA

• Dental Clinic/Center in Crestwood, IL
• Providers in Crestwood, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.