Usha Gope, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

319020112 Issued in IL

Practice address

75 W North Ave
Suite # 400
Northlake, IL 60164-2306

Phone

(708) 562-5100

NPI assigned

Sep 5, 2016

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 5, 2016.

{
    "created_epoch": "1473033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473033600000",
    "number": "1669929931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ELM CREEK DR APT 404",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265233",
            "telephone_number": "630-310-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W NORTH AVE",
            "address_2": "SUITE # 400",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601642306",
            "telephone_number": "708-562-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPE",
        "first_name": "USHA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-05",
        "last_updated": "2016-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "319020112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane G Forecki, OD
• Elizabeth Kathleen Gatti, M.S. CCC-SLP
• Jithin George, PT, DPT
• Jocelyn Yvette Gonzalez
• Sanjeev Gope, DDS
• Ciprian Gorgan, RPH
• Lisa Guzman, LPC
• Healthstat Inc Scholle Northlake
• Megan Marie Hurt
• International Health Systems

• All providers in Northlake, IL
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2016; 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.