Ge Barsa DDS LTD.

Primary specialty

DentistTaxonomy code 122300000X

License

019.029076 Issued in IL

Legal business name

GE BARSA DDS LTD.

Practice address

3190 N Elston Ave
Chicago, IL 60618-5845

Phone

(773) 267-9777

NPI assigned

Jul 7, 2014

Organization subpart

No

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

Authorized official

Name

Dr. George E Barsa, DDS

Title

Owner

Phone

(773) 267-9777

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Belmont & California Dental Doing business as

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1669888947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185845",
            "telephone_number": "773-267-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185845",
            "telephone_number": "773-267-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GE BARSA DDS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "BARSA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-267-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194156042",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497952816",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699026302",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belmont & California Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abidemi Gbotosho, DDS
• Ayodeji Olalekan Gbotosho, MD
• GC Labs Inc
• GC Labs Inc
• GC Smiles PC
• Jay Geaman
• Molly Elizabeth Geaman, DNP, CPNP
• Demetrios John Geanon
• Kesha Geans, MSW
• Anne T Gearhart, M.D.

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.