Individual provider Active NPI

Shoshana Margalit Center, DMD

  • Dentist
  • Chicago, IL
National Provider Identifier
1457085128
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019033718 Issued in IL
Practice address
971 W 18TH St
Chicago, IL 60608-2362
Phone
(312) 971-8528
NPI assigned
Jul 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019033718 IL Primary

Addresses

Primary practice location

971 W 18TH St
Chicago, IL 60608-2362

Mailing address

3114 Plum Island Dr
Northbrook, IL 60062-4359
Phone (224) 522-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019033718ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1457085128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 PLUM ISLAND DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624359",
            "telephone_number": "224-522-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082362",
            "telephone_number": "312-971-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTER",
        "first_name": "SHOSHANA",
        "middle_name": "MARGALIT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019033718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; 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.