Individual provider Active NPI

Paul N Greico, DDS

  • Dentist
  • Addison, IL
National Provider Identifier
1982707428
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Practice address
1576 W Lake St
#102
Addison, IL 60101
Phone
(630) 250-0333
Fax
(630) 250-0903
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X IL Primary

Addresses

Primary practice location

1576 W Lake St
#102
Addison, IL 60101

Mailing address

1576 W Lake St
#102
Addison, IL 60101
Phone (630) 250-0333

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
I20160525000287 IL Order and Referring Only - DentistPractitioner - Dentist 6305135724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019021701ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Essence, LTD PastSince Aug 29, 2021 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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982707428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 W LAKE ST",
            "address_2": "#102",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "60101",
            "telephone_number": "630-250-0333",
            "fax_number": "630-250-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 W LAKE ST",
            "address_2": "#102",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "60101",
            "telephone_number": "630-250-0333",
            "fax_number": "630-250-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREICO",
        "first_name": "PAUL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

Verify at the official NPI Registry.