Michael Phillip Golk, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.032125 Issued in IL

Practice address

17853 80TH Ave
Tinley Park, IL 60477-5023

Phone

(708) 429-9900

NPI assigned

May 31, 2019

Last updated

Mar 31, 2020By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael Golk DMD PC

  dba Cambridge Dental Care

  • Dental Clinic/Center
  • Tinley Park, IL
  • NPI 1275233777
  NPD Authorized official
• Cambridge Dental Care LTD

  • General Practice Dentistry
  • Tinley Park, IL
  • NPI 1639733488
  NPD (past)

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1528626975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19649 S ARRAN DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239108",
            "telephone_number": "708-997-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17853 80TH AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604775023",
            "telephone_number": "708-429-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLK",
        "first_name": "MICHAEL",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arnold A Gombiner, MD
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• Margaret Gonnella, PT, DPT
• Mariangeline Gonzalez Ortiz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.