Organization Active NPI

Gargiulo Periodontics

  • Periodontics
  • Chicago, IL
National Provider Identifier
1780538504
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
GARGIULO PERIODONTICS
Practice address
4200 W Peterson Ave Ste 128
Chicago, IL 60646-6812
Phone
(773) 286-4800
Fax
(773) 243-0043
NPI assigned
Feb 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Alejandra Baca
Title
Practice Manager
Phone
(773) 286-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

4200 W Peterson Ave Ste 128
Chicago, IL 60646-6812

Mailing address

4200 W Peterson Ave Ste 128
Chicago, IL 60646-6812
Phone (773) 286-4800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1780538504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE STE 128",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466812",
            "telephone_number": "773-286-4800",
            "fax_number": "773-243-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE STE 128",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466812",
            "telephone_number": "773-286-4800",
            "fax_number": "773-243-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARGIULO PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "BACA",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "773-286-4800"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.