Active NPI
Gerel Emgushova, D.M.D
- Dentist
- East Dundee, IL
National Provider Identifier
1467892000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019029418
- Practice address
- 214 Dundee Ave
East Dundee, IL 60118-1627 - Phone
- (847) 426-7721
- NPI assigned
- Jun 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019029418 | IL | Primary |
Addresses
Primary practice location
214 Dundee Ave
East Dundee, IL 60118-1627
Mailing address
214 Dundee Ave
East Dundee, IL 60118-1627
Phone (847) 426-7721
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019029418 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379635200000",
"number": "1467892000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 DUNDEE AVE",
"city": "EAST DUNDEE",
"state": "IL",
"postal_code": "601181627",
"telephone_number": "847-426-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 DUNDEE AVE",
"city": "EAST DUNDEE",
"state": "IL",
"postal_code": "601181627",
"telephone_number": "847-426-7721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMGUSHOVA",
"first_name": "GEREL",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-27",
"last_updated": "2013-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Dundee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.