Active NPI
Gloria Gargiulo, DDS MS
- Periodontics
- Chicago, IL
National Provider Identifier
1295806008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Practice address
- 4200 W Peterson Ave
117
Chicago, IL 60646-6074 - Phone
- (773) 769-4800
- Fax
- (773) 283-0778
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | IL | Primary |
Addresses
Primary practice location
4200 W Peterson Ave
117
Chicago, IL 60646-6074
Mailing address
4200 W Peterson Ave
117
Chicago, IL 60646-6074
Phone (773) 769-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021001622 | IL | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gargiulo Periodontics | Periodontics | Current | 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.
-
- Periodontics
- Chicago, IL
- NPI 1780538504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295806008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 W PETERSON AVE",
"address_2": "117",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606466074",
"telephone_number": "773-769-4800",
"fax_number": "773-283-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 W PETERSON AVE",
"address_2": "117",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606466074",
"telephone_number": "773-769-4800",
"fax_number": "773-283-0778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARGIULO",
"first_name": "GLORIA",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "IL",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.