Dennis Gan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019032293 Issued in IL

Practice address

1525 E 53Rd St Ste 734
Chicago, IL 60615-4575

Phone

(857) 574-0150

NPI assigned

Jul 29, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1891349742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W 15TH ST UNIT 236",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST STE 734",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154575",
            "telephone_number": "857-574-0150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320A Chicago Rd",
            "address_purpose": "LOCATION",
            "city": "South Chicago Heights",
            "state": "IL",
            "postal_code": "604115423",
            "country_code": "US",
            "telephone_number": "708-248-5034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13621 S Route 59",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605449701",
            "country_code": "US",
            "telephone_number": "815-673-7842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAN",
        "first_name": "DENNIS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Gammariello, RPH
• Paul Gamo, REGISTERED NURSE
• Gamoff Walker Pediatrics Inc.
• Anuhya Gampa, M.D.
• Pamela J Gampetro, APN CFNP
• Jonathan Ma Gan, MD
• Sisheng Gan
• Stephen Robert Gan, MD
• Pallavi Ganapathi, MD
• Nausheen Ganatra, MD

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.