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Deactivated NPI 1063500957 Deactivated / Inactive NPI Male Practitioner

Nicholas C Katris

Dentist • Park Ridge, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nicholas Katris has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 10, 2006
NPI Deactivation Date February 18, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Nicholas Katris was a registered Dentist practicing in Park Ridge, IL. Throughout an active medical career spanning 13 years, Nicholas Katris provided care at the practice location at 444 N NORTHWEST HWY until profile deactivation on 2019-02-18.

Practice Location & Contact Primary Location

Practice Address

444 N Northwest Hwy
Suite 325

Park Ridge, IL 60068

Telephone 8472966100
Fax 8472968706
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Park Ridge, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
33 Specialists

Practicing in Park Ridge, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 19011566

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Brian Cherny , DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1184216707

Doctor of Dental Medicine

Dr. Leo Dumanis , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1437255106

Doctor of Dental Surgery

Dr. Bruce Hochstadter , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1578666137

Doctor of Dental Surgery

Dr. Richard Isaacson , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1639267511

Doctor of Dental Surgery

Dr. Barry Cherny , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1922196807

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 18, 2019

Record deactivated on February 18, 2019

NPI Profile Active July 11, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 11, 2008

Registered at 444 N NORTHWEST HWY, SUITE 325, PARK RIDGE, IL 60068 (Tel: 8472966100)

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Updated Business Mailing Address July 11, 2008

Registered at 444 N NORTHWEST HWY, SUITE 325, PARK RIDGE, IL 60068 (Tel: 8472966100)

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Provider Name / Credentials Updated July 11, 2008

Recorded as NICHOLAS KATRIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2008

Dentist (License #19011566 in IL)

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Initial NPI Registration & Enumeration October 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063500957
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: July 11, 2008
Deactivation Date: February 18, 2019

Mailing Address

444 N Northwest Hwy, Suite 325

Park Ridge, IL 60068

Phone: 8472966100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.