DR. JOHN DIMOULIS DDS MS
NPI 1962592865
Dentist - Periodontics in Chicago, IL

Q: What is John Dimoulis's NPI number?

The NPI number for John Dimoulis is 1962592865. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is John Dimoulis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for John Dimoulis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 13, 2006PECOS Enrolled

5780 N LINCOLN AVE, CHICAGO, IL 60659(773) 769-1754(773) 769-1350 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. John Dimoulis Dds Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN DIMOULIS DDS MS (NPI 1962592865) is an individual periodontics provider in Chicago, Illinois and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962592865

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. JOHN DIMOULISCredential: DDS MS

Location Address5780 N LINCOLN AVEChicago, IL 60659-4721

Mailing Address5780 N Lincoln AveChicago, IL 60659-4721 · (773) 769-1754 · Fax (773) 769-1350

Phone(773) 769-1754

Fax(773) 769-1350

Sole ProprietorYes

Enumeration DateOctober 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1962592865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

5780 N LINCOLN AVE, Chicago, IL 60659

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Dimoulis Dds Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60659 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A-DENTA CARE SPECIALIST PC

Dentist (Periodontics)

5780 N LINCOLN AVE
CHICAGO, IL 60659

Cook County (773) 769-1754

STEVEN B. RAPHAEL, D.D.S., P.C.

Dentist (Endodontics)

5780 N LINCOLN AVE
CHICAGO, IL 60659

Cook County (773) 769-1754

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Dimoulis's NPI number?

The NPI number for John Dimoulis is 1962592865. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is John Dimoulis located?

John Dimoulis practices at 5780 N Lincoln Ave, Chicago, IL 60659. The listed phone number is (773) 769-1754.

What is John Dimoulis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is John Dimoulis enrolled in Medicare?

Yes. John Dimoulis is registered in the Medicare PECOS enrollment system.

What insurance does John Dimoulis accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list John Dimoulis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Dimoulis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.