David Michael Gorenz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019031187 Issued in IL

Practice address

541 Sullivan Rd
Aurora, IL 60506-1406

Phone

(630) 897-1156

Fax

(630) 896-5374

NPI assigned

Jun 21, 2017

Sex

Male

Sole proprietor

No

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

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gary L. Ahasic, D.M.D., PC

  • Dental Clinic/Center
  • Aurora, IL
  • NPI 1003938721
  NPD (past)
• Laurence a. Sexton, D.D.S., PC

  • Dental Clinic/Center
  • Aurora, IL
  • NPI 1841312576
  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1841710894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 SULLIVAN RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061406",
            "telephone_number": "630-897-1156",
            "fax_number": "630-896-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SULLIVAN RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061406",
            "telephone_number": "630-897-1156",
            "fax_number": "630-896-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORENZ",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019031187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Gonzalez, RD., LDN
• Yesenia Gonzalez
• Veronica Goodson
• Jaymee Goodspeed, LSW
• Reema Gore
• Christianna Gorman
• Adriana Gorre
• Chloe Lynn Gorski
• Benjamin Luke Gorsky, PA-C
• Richard S Goryl, PHYSICAL THERAPIST

• General Practice Dentistry in Aurora, IL
• Providers in Aurora, 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 Jun 21, 2017; 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.