Global Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025978 Issued in IL

Legal business name

GLOBAL DENTAL ASSOCIATES

Practice address

8269 W Golf Rd
Niles, IL 60714-1156

Phone

(312) 316-1993

NPI assigned

Mar 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Vladimir Tismensky, DDS

Title

Doctor/Owner

Phone

(312) 316-1993

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1508008988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8269 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141156",
            "telephone_number": "312-316-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8269 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141156",
            "telephone_number": "312-316-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "TISMENSKY",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "312-316-1993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Niles, IL
• Providers in Niles, 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 Mar 31, 2009; 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.