Organization Active NPI

Polina Gubareva DMD PLLC

  • Periodontics
  • Chicago, IL
National Provider Identifier
1205735982
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
POLINA GUBAREVA DMD PLLC
Practice address
5613 W Irving Park Rd
Chicago, IL 60634-2740
Phone
(847) 840-8301
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Authorized official

Name
Dr. Polina Gubareva, DMD
Title
Owner
Phone
(847) 840-8301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

5613 W Irving Park Rd
Chicago, IL 60634-2740

Mailing address

7750 N Octavia Ave
Niles, IL 60714-4751
Phone (847) 840-8301

NPI Registry JSON

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1205735982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 N OCTAVIA AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144751",
            "telephone_number": "847-840-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342740",
            "telephone_number": "847-840-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLINA GUBAREVA DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-01",
        "status": "A",
        "authorized_official_last_name": "GUBAREVA",
        "authorized_official_first_name": "POLINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-840-8301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.