Gallery Park Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GALLERY PARK PEDIATRIC DENTISTRY

Practice address

2501 Compass Rd Ste 125
Glenview, IL 60026-8071

Phone

(847) 250-1130

NPI assigned

Jan 31, 2025

Last updated

Jan 31, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynna Gripentrog, DMD

Title

Dentist

Phone

(847) 250-1130

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Timothy Rogers, D.D.S.

  • Dentist
  • Chicago, IL
  • NPI 1366706285
  NPD

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1720891823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 COMPASS RD STE 125",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268071",
            "telephone_number": "847-250-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 COMPASS RD STE 125",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268071",
            "telephone_number": "847-250-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERY PARK PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "GRIPENTROG",
        "authorized_official_first_name": "LYNNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-250-1130",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G&R Procare LLC (Synergy Homecare Glenbrook)
• James Gabbidon, OTA/L
• Gabriel I. Berlin, MD, LLC
• Amy Gaertner
• Jacey Gagnon
• Jamia Lynn Galton, APN
• Jennifer Ann Galvin, M.D.
• Barbara Ann Gamache, COTA/L
• Angela Gambardella
• Carla Gamez, DPM

• Dental Clinic/Center in Glenview, IL
• Providers in Glenview, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.