George E Barsa

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.029076 Issued in IL

Practice address

14430 John Humphrey Dr
Orland Park, IL 60462-2638

Phone

(708) 364-8900

Fax

(708) 364-9875

NPI assigned

Sep 21, 2012

Last updated

Sep 21, 2012By the provider in NPPES

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

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1699026302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 N LAKE SHORE DR",
            "address_2": "4413",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135300",
            "telephone_number": "845-664-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14430 JOHN HUMPHREY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622638",
            "telephone_number": "708-364-8900",
            "fax_number": "708-364-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSA",
        "first_name": "GEORGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Barnes
• Vivian Venise Barney, LSW
• Guiller Joseph Baron, OTR
• Viktorija O Barr, PHARM.D.
• Michelle N Barraco Hatchett, LCPC, CADC, MA
• Alivia Barta
• Jeremy Bartel
• Kathryn Bartlett, SLP
• Taylor Bartosiewicz, RD
• Piotr Bartoszek, PT

• General Practice Dentistry in Orland Park, IL
• Providers in Orland Park, 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 Sep 21, 2012; 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.