Krishna M Gopisetty, D.D.S., M.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019029636 Issued in IL

Practice address

1738 W North Ave
Chicago, IL 60622-2147

Phone

(773) 276-5566

NPI assigned

Jan 21, 2011

Last updated

Sep 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Virginia Orofacial Pain and Sleep Center

  dba Virginia Orofacial Pain & Sleep Center

  • General Practice Dentistry
  • Glen Allen, VA
  • NPI 1497443436
  NPD Authorized official
• Krishna M Gopisetty D.D.S., M.S., P.C.

  dba Wicker Park Dental Group

  • Dentist
  • Chicago, IL
  • NPI 1356749550
  Authorized official Same address or phone

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1275838328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222147",
            "telephone_number": "773-276-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222147",
            "telephone_number": "773-276-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPISETTY",
        "first_name": "KRISHNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-21",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parva Gopani, MD
• Anna Beata Gopaniuk-Folga, MD
• Madhavi Goparaju
• Chirag S Gopinath, MD
• Preiyaa Gopinath, M.D.
• Ashleigh N Goplen, DPT
• Grace Anne Gopp, OTR/L
• Juhi A Gor
• Marcelina Aniela Gora, FNP-BC
• Sayhaan Raza Goraya, MD

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.