Individual provider Active NPI

Asher S Gelman, DMD

  • General Practice Dentistry
  • Skokie, IL
National Provider Identifier
1679707616
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019028400 Issued in IL
Practice address
9138 Four Winds Way
Skokie, IL 60076-1753
Phone
(917) 797-9840
NPI assigned
May 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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 019028400 IL Primary

Addresses

Primary practice location

9138 Four Winds Way
Skokie, IL 60076-1753

Mailing address

9138 Four Winds Way
Skokie, IL 60076-1753
Phone (917) 797-9840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150521002662 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6507186111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019028400ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1679707616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9138 FOUR WINDS WAY",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761753",
            "telephone_number": "917-797-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9138 FOUR WINDS WAY",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761753",
            "telephone_number": "917-797-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELMAN",
        "first_name": "ASHER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.