NPIMap

Organization Active NPI

Gold Star Dental LLC

  • General Practice Dentistry
  • Skokie, IL
National Provider Identifier
1336710540
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GOLD STAR DENTAL LLC
Practice address
4057 Old Orchard Rd # North
Skokie, IL 60076-1001
Phone
(847) 329-1314
Fax
(847) 329-9116
NPI assigned
Jul 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Ms. Dorina Nastase, DMDNPI 1154707388
Title
Member
Phone
(773) 698-5773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

4057 Old Orchard Rd # North
Skokie, IL 60076-1001

Mailing address

4057 Old Orchard Rd # North
Skokie, IL 60076-1001
Phone (847) 329-1314

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1336710540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 OLD ORCHARD RD # NORTH",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761001",
            "telephone_number": "847-329-1314",
            "fax_number": "847-329-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4057 OLD ORCHARD RD # NORTH",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761001",
            "telephone_number": "847-329-1314",
            "fax_number": "847-329-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "NASTASE",
        "authorized_official_first_name": "DORINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "773-698-5773",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.