Individual provider Active NPI

Aurel Eugene Goglin Jr., D.D.S.

  • General Practice Dentistry
  • Arlington Heights, IL
National Provider Identifier
1356301642
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19-014050 Issued in IL
Practice address
1635 N Arlington Heights Rd
Suite 101
Arlington Heights, IL 60004-3944
Phone
(847) 398-2191
Fax
(847) 870-1486
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19-014050 IL Primary

Addresses

Primary practice location

1635 N Arlington Heights Rd
Suite 101
Arlington Heights, IL 60004-3944

Mailing address

1635 N Arlington Heights Rd
Suite 101
Arlington Heights, IL 60004-3944
Phone (847) 398-2191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160429001458 IL Order and Referring Only - DentistPractitioner - Dentist 6608175344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19-014050ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356301642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 101",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043944",
            "telephone_number": "847-398-2191",
            "fax_number": "847-870-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 101",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043944",
            "telephone_number": "847-398-2191",
            "fax_number": "847-870-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGLIN",
        "first_name": "AUREL",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19-014050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.