Active NPI
Tolga Fikret Tozum, DDS, PHD
- Periodontics
- Chicago, IL
National Provider Identifier
1851789077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 021003262
- Practice address
- 801 S Paulina St
Dentistry Room 469G
Chicago, IL 60612-7210 - Phone
- (312) 996-1264
- NPI assigned
- Dec 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 021003262 | IL | Primary |
Addresses
Primary practice location
801 S Paulina St
Dentistry Room 469G
Chicago, IL 60612-7210
Mailing address
3410 N Lake Shore Dr Apt 16Ab
Chicago, IL 60657-9411
Phone (224) 875-1495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021003262 | IL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1851789077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 N LAKE SHORE DR APT 16AB",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606579411",
"telephone_number": "224-875-1495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S PAULINA ST",
"address_2": "DENTISTRY ROOM 469G",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127210",
"telephone_number": "312-996-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOZUM",
"first_name": "TOLGA",
"middle_name": "FIKRET",
"name_prefix": "Prof.",
"credential": "DDS, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-23",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "IL",
"license": "021003262",
"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 Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.