Michael John Giuliano, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033200 Issued in IL

Practice address

14301 Cicero Ave
Crestwood, IL 60418-2110

Phone

(708) 498-4456

NPI assigned

Mar 29, 2022

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Family Dental Care

  • Public Health Dentistry
  • Chicago, IL
  • NPI 1306514773

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1669112678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 E 92ND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604182110",
            "telephone_number": "708-498-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIULIANO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M Fliegelman, DO
• Luciano Fochesatto Filho, M.D.
• Kathryn Rose Gabel, M.A., CCC-SLP
• Robert W Gentile, DDS
• Breanna Gipson
• James Golding, CRADC, CCJP, MAC
• Karen M. Gross, MHS, CCC-SLP/L
• Amber N Guzak, B.A., M.B.A., M.A.
• Hadley Jacqueline Hagerty
• Keroles Hanna, PTA

• General Practice Dentistry in Crestwood, IL
• Providers in Crestwood, 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 29, 2022; 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.