Scott Nelson Bialobreski, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28309 Issued in IL

Practice address

217 Market Street
Galva, IL 61428

Phone

(309) 932-2000

Fax

(309) 932-8904

NPI assigned

Jun 17, 2010

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1447571088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MARKET STREET",
            "city": "GALVA",
            "state": "IL",
            "postal_code": "61428",
            "telephone_number": "309-932-2000",
            "fax_number": "309-932-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MARKET STREET",
            "city": "GALVA",
            "state": "IL",
            "postal_code": "61428",
            "telephone_number": "309-932-2000",
            "fax_number": "309-932-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIALOBRESKI",
        "first_name": "SCOTT",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "28309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caravello Pharmacy Inc (Galva Pharmacy)
• Scott J Caravello, R.PH.
• City of Galva (Gbems)
• D & D Services Inc (Preferred Home Health Care)
• D & D Services Inc (Preferred Home Health Care Midwest)

• General Practice Dentistry in Galva, IL
• Providers in Galva, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.