Organization Active NPI

Chrisoula Georgacopoulos DMD P.C.

Doing business as Axion Dental

  • Dental Clinic/Center
  • Mokena, IL
National Provider Identifier
1982438990
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHRISOULA GEORGACOPOULOS DMD P.C.
Doing business as
Axion Dental
Practice address
10112 191St St
Mokena, IL 60448-9381
Phone
(708) 995-7495
NPI assigned
Aug 30, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Chrisoula GeorgacopoulosNPI 1578870754
Title
Owner
Phone
(708) 995-7495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

10112 191St St
Mokena, IL 60448-9381

Mailing address

10112 191St St
Mokena, IL 60448-9381
Phone (708) 995-7495

Other names 1

  • Axion Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10112 191st St
Mokena, IL 60448
Phone (708) 995-7495

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1982438990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10112 191ST ST",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489381",
            "telephone_number": "708-995-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10112 191ST ST",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489381",
            "telephone_number": "708-995-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISOULA GEORGACOPOULOS DMD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "GEORGACOPOULOS",
        "authorized_official_first_name": "CHRISOULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-995-7495"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axion Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.