Gene Mendelson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

4833 Church St
Skokie, IL 60077-1357

Phone

(847) 673-7118

Fax

(847) 673-4709

NPI assigned

Nov 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• North Suburban Dental Associates PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Skokie, IL
  • NPI 1245319607

  General Practice

  NPD (past)
• Webster Dental Care North Suburban LTD

  • General Practice Dentistry
  • Skokie, IL
  • NPI 1982804654
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689746661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 DELL LN",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355024",
            "telephone_number": "847-432-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 CHURCH ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771357",
            "telephone_number": "847-673-7118",
            "fax_number": "847-673-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSON",
        "first_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbas Memon, PHARMACIST
• Mena Dental PLLC
• Roda Jean Mena, DDS
• Gregg M. Menaker, MD
• Tatyana Menaker, ANP
• Linnet Mendez, LCPC
• Nicholas Steven Mendez, DC
• Mengyu Tsai DDS LTD
• Lena Wexler Menkes, OTD
• Elaine Mercado, ANP

• General Practice Dentistry in Skokie, IL
• Providers in Skokie, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.