Douglas V Gorin, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Practice address

111 N Wabash Ave Ste 919
Chicago, IL 60602-1932

Phone

(312) 641-2575

Fax

(312) 641-6621

NPI assigned

Mar 15, 2007

Last updated

Jul 8, 2007By 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

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.

• Periodontics LTD.

  • Periodontics
  • Chicago, IL
  • NPI 1336219856
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356475032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 919",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021932",
            "telephone_number": "312-641-2575",
            "fax_number": "312-641-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 919",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021932",
            "telephone_number": "312-641-2575",
            "fax_number": "312-641-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORIN",
        "first_name": "DOUGLAS",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "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": []
}

• Gorey Family Counseling, LTD.
• Larisa Gorgevska-Sharpe, MAT, LAT, ATC
• Karina Covarrubias Gorgey
• Linda Gorham, MA
• James M Goril, D.D.S.
• Savannah Rose Gorisek
• Rachel Anne Gorjanc, MS, LCPC
• Ava Gorji, PHARMD
• Nila Gorji, PHARMD
• Maria Gorka-Barczyk, CHILD DEV SPECIALIST

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

• 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.

Verify at the official NPI Registry.