George D Di Tola, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0190162026 Issued in IL

Practice address

3521 W Lake St
Melrose Park, IL 60160

Phone

(708) 865-1214

Fax

(708) 865-7933

NPI assigned

May 20, 2008

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

Other identifiers 1

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 and National Provider Directory roles.

• George D Di Tola DDS LTD

  • Dentist
  • Melrose Park, IL
  • NPI 1598746364
  NPD (past) Authorized official

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1770740565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 W LAKE ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-865-1214",
            "fax_number": "708-865-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 W LAKE ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-865-1214",
            "fax_number": "708-865-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI TOLA",
        "first_name": "GEORGE",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "0190162026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101670",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaella Devetter, BFA
• Sushant Dhadwal, D.D.S
• Neetha Dhananjaya, M.D.
• Ravinder Dhillon, M. D.
• Ramesh C Dhingra, MD
• Diabetes and Internal Medicine of Illinois,Inc
• Diabetes Osteoporosis Obesity Inc
• Diagnostic Pathology Consultants, SC
• Lindsay Ann Diaz, DDS
• Dimoulis Dental P.C.

• General Practice Dentistry in Melrose Park, IL
• Providers in Melrose 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 May 20, 2008; 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.