Individual provider Active NPI

Maria Osan-Topala, D.D.S.

  • Dentist
  • Lansing, IL
National Provider Identifier
1194986240
Registry record updated Jun 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019-015507 Issued in IL
Practice address
2457 Ridge Rd
Lansing, IL 60438-2711
Phone
(708) 895-0724
Fax
(708) 895-0757
NPI assigned
Jun 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019-015507 IL Primary

Addresses

Primary practice location

2457 Ridge Rd
Lansing, IL 60438-2711

Mailing address

PO Box 5214
Lansing, IL 60438-5214
Phone (708) 895-0724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160107002863 IL Order and Referring Only - DentistPractitioner - Dentist 1850693862
I20160930001427 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1850693862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-015507ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Maria Osan Topala and Assoc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214006400000",
    "number": "1194986240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5214",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604385214",
            "telephone_number": "708-895-0724",
            "fax_number": "708-895-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 RIDGE RD",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382711",
            "telephone_number": "708-895-0724",
            "fax_number": "708-895-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAN-TOPALA",
        "first_name": "MARIA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-21",
        "last_updated": "2008-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-015507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

Verify at the official NPI Registry.