Teliane Suella Bakala-Mpandzou, DMD, MSD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

021003518 Issued in IL

Practice address

1640 Capital St Ste 500
Elgin, IL 60124-8078

Phone

(773) 920-8841

NPI assigned

May 18, 2023

Last updated

Apr 21, 2026By the provider in NPPES

Sex

Female

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

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1437840659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2354 W POLK ST UNIT 403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606125801",
            "telephone_number": "773-920-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 CAPITAL ST STE 500",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601248078",
            "telephone_number": "773-920-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKALA-MPANDZOU",
        "first_name": "TELIANE",
        "middle_name": "SUELLA",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021003518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rabia Baig
• Justin J. Baik, DMD
• Caroline J Bailey, LCSW
• Daniel Bailey
• Amber Bain, J.D.
• Daisy Baker, LCSW
• Gayatri Kolluru Baker, D.O.
• Jacob Thomas Baker, APRN
• Keith Baker, BA, CADC
• Balamoorti Gaonkar

• Pediatric Dentistry in Elgin, IL
• Providers in Elgin, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.