Active NPI
Simona Balan DDS PC
- General Practice Dentistry
- Morton Grove, IL
National Provider Identifier
1811050990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SIMONA BALAN DDS PC
- Practice address
- 6223 W Dempster
Morton Grove, IL 60053 - Phone
- (847) 663-1196
- Fax
- (847) 663-1197
- NPI assigned
- Dec 19, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Simona Balan, DDS
- Title
- Dentist President
- Phone
- (847) 663-1196
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Primary |
Addresses
Primary practice location
6223 W Dempster
Morton Grove, IL 60053
Mailing address
6223 W Dempster
Morton Grove, IL 60053
Phone (847) 663-1196
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- General Practice Dentistry
- Morton Grove, IL
- NPI 1023282217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811050990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6223 W DEMPSTER",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "60053",
"telephone_number": "847-663-1196",
"fax_number": "847-663-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6223 W DEMPSTER",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "60053",
"telephone_number": "847-663-1196",
"fax_number": "847-663-1197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMONA BALAN DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BALAN",
"authorized_official_first_name": "SIMONA",
"authorized_official_title_or_position": "DENTIST PRESIDENT",
"authorized_official_telephone_number": "847-663-1196",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.