Individual provider Active NPI

Antara Goswami, B.D.S

  • General Practice Dentistry
  • Orland Park, IL
National Provider Identifier
1528885084
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.035501 Issued in IL
Practice address
10727 W 159TH St
Orland Park, IL 60467-4531
Phone
(708) 364-1102
NPI assigned
Sep 25, 2024
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.035501 IL Primary

Addresses

Primary practice location

10727 W 159TH St
Orland Park, IL 60467-4531

Mailing address

625 W Madison St Apt 1811
Chicago, IL 60661-2728
Phone (516) 540-3438

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

LicenseStateTypeSpecialty
019.035501ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Winterset Dental Care PC CurrentSince Sep 29, 2024 Accepting new patients

Locations

10727 W 159th St
Orland Park, IL 60467
Phone (708) 364-1102

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1528885084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W MADISON ST APT 1811",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612728",
            "telephone_number": "516-540-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10727 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674531",
            "telephone_number": "708-364-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSWAMI",
        "first_name": "ANTARA",
        "credential": "B.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.035501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.