Raymond A Pollina, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

19A14137 Issued in IL

Practice address

350 S Northwest Hwy
Suite 116
Park Ridge, IL 60068-4216

Phone

(847) 823-4161

Fax

(847) 823-4163

NPI assigned

Mar 9, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Endodontic Associates of Park Ridge LTD

  • Endodontics
  • Park Ridge, IL
  • NPI 1023232220
  Authorized official Same address or phone

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1528381266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY",
            "address_2": "SUITE 116",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684216",
            "telephone_number": "847-823-4161",
            "fax_number": "847-823-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY",
            "address_2": "SUITE 116",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684216",
            "telephone_number": "847-823-4161",
            "fax_number": "847-823-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLINA",
        "first_name": "RAYMOND",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "19A14137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey John Podnar, MD
• Nancy Sue Poeling, APN, CNS
• Melissa Sofia Poelman, OTR/L
• Marta Polakowski
• Joanna Pienkowski Polk, MSW,LCSW
• Kendra Pollizze, OT
• Raja Ram Poludasu, M.D.
• Joanna Poniatowicz, MD
• Izabela Ana Pop, MD
• Maja Popovic, DO

• Dentist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.