Melissa E Gierman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019-025868 Issued in IL

Practice address

430 S Main St
Lombard, IL 60148-2600

Phone

(630) 627-8601

Fax

(630) 627-0055

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 20, 2016 through Apr 20, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Glenbard Family Dental

  • General Practice Dentistry
  • Lombard, IL
  • NPI 1528667151
  NPD Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1467661371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S. MAIN ST.",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "60148",
            "telephone_number": "630-627-8601",
            "fax_number": "630-627-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482600",
            "telephone_number": "630-627-8601",
            "fax_number": "630-627-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIERMAN",
        "first_name": "MELISSA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-025868",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.025868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentle Path Home Care Agency LLC
• Shawn George, DO
• Geriacare Home Healthcare Inc
• Jessica Geslak, M.S. CCC-SLP
• Callyn Leigh Giacomuzzi, OT
• Samantha Gilligan, MA
• Christine M Gilmore, APRN
• GLC Wellness Center Chicago
• Glenbard Family Dental
• Lesley Glenn

• Dentist in Lombard, IL
• Providers in Lombard, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.