Gogineni Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GOGINENI DENTAL

Practice address

210 N Pine St
New Lenox, IL 60451-1757

Phone

(815) 485-8252

NPI assigned

May 25, 2026

Organization subpart

No

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

Authorized official

Name

Sirisha Gogineni, DDSNPI 1194009142

Title

Dentist

Phone

(847) 899-9517

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sirisha Gogineni, DDS

  • General Practice Dentistry
  • Mahomet, IL
  • NPI 1194009142
  NPD Authorized official
• Randall Matuszewski, D.D.S.

  • General Practice Dentistry
  • New Lenox, IL
  • NPI 1205831286
  NPD (past)

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1114858776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 S PRAIRIE AVE UNIT 1001",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N PINE ST",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511757",
            "telephone_number": "815-485-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOGINENI DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-24",
        "status": "A",
        "authorized_official_last_name": "GOGINENI",
        "authorized_official_first_name": "SIRISHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-899-9517",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaid Hussein Omar Gheith, M.D
• Jason Ghodasra, M.D.
• Danielle Giangiulio
• Candice Leigh Gibbons, D.D.S.
• Eileen Gillstrom, PT
• Golden Hour Therapy Center
• Abigail Golebiowski
• Molly Golias
• Neil Gomez, PHARMD
• Julianne M. Goudzwaard, R.N. IBCLC

• Dental Clinic/Center in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.