A-Denta Care Specialist PC
NPI 1417223470ActiveOrganization· Dentist, Periodontics· Chicago, IL
Dentist, Periodontics in Chicago, Illinois, registered in NPPES in March 2012. The authorized official on file is John Dimoulis, DDS MS, Owner.
Overview
| NPI | 1417223470 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2012 |
| Last updated in NPPES | Mar 23, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 021001402 | IL |
| Dentist, Endodontics | 1223E0200X | 021002414 | IL |
| Dentist, Endodontics | 1223E0200X | 021002411 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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