Individual provider Active NPI

Spiro Barlas, DDS

  • General Practice Dentistry
  • Niles, IL
National Provider Identifier
1043379373
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019022766 Issued in IL
Practice address
241 Golf Mill Center Suite 721
Golf Mill Professional Building
Niles, IL 60714
Phone
(847) 298-4440
Fax
(847) 298-5162
NPI assigned
Dec 6, 2006
Reactivated
Feb 22, 2012
Last updated
Feb 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019022766 IL Primary

Addresses

Primary practice location

241 Golf Mill Center Suite 721
Golf Mill Professional Building
Niles, IL 60714

Mailing address

241 Golf Mill Center Suite 721
Golf Mill Professional Building
Niles, IL 60714
Phone (847) 298-4440

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
I20150324000207 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4385961762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spiro Barlas,D.D.S.,P.C. General Practice Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1043379373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CENTER SUITE 721",
            "address_2": "GOLF MILL PROFESSIONAL BUILDING",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-298-4440",
            "fax_number": "847-298-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CENTER SUITE 721",
            "address_2": "GOLF MILL PROFESSIONAL BUILDING",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-298-4440",
            "fax_number": "847-298-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLAS",
        "first_name": "SPIRO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-02-22",
        "deactivation_date": "2007-01-11",
        "reactivation_date": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019022766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.