Active NPI
Spiro Barlas, DDS
- General Practice Dentistry
- Niles, IL
National Provider Identifier
1043379373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019022766
- 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, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150324000207 | IL | Order and Referring Only - Oral Surgery | 4385961762 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Niles, IL
- NPI 1457418295
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.