Individual provider Active NPI

Goran Topalo, D.D.S.

  • Dentist
  • Palatine, IL
National Provider Identifier
1164700324
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019028682 Issued in IL
Practice address
222 N. Plum Grove Rd
Palatine, IL 60067
Phone
(847) 359-4700
NPI assigned
Jul 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019028682 IL Primary

Addresses

Primary practice location

222 N. Plum Grove Rd
Palatine, IL 60067

Mailing address

222 N. Plum Grove Rd
Palatine, IL 60067
Phone (847) 359-4700

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
I20150415000484 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0840518213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019028682ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Plum Grove Dental Associates Dentist 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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1164700324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N. PLUM GROVE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "60067",
            "telephone_number": "847-359-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N. PLUM GROVE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "60067",
            "telephone_number": "847-359-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPALO",
        "first_name": "GORAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.