Gary A Tapak, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019020129 Issued in IL

Practice address

4647 W 103Rd St
Suite 2M
Oak Lawn, IL 60453-4779

Phone

(708) 424-6737

Fax

(708) 424-5520

NPI assigned

Mar 30, 2009

Sex

Male

Sole proprietor

Yes

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": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1902048465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST",
            "address_2": "SUITE 2M",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534779",
            "telephone_number": "708-424-6737",
            "fax_number": "708-424-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST",
            "address_2": "SUITE 2M",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534779",
            "telephone_number": "708-424-6737",
            "fax_number": "708-424-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPAK",
        "first_name": "GARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Baylosis Tan, PT
• Juelin Tang, M.D.
• Ming-Yeng Su Tang, M.D.
• Geraldine Alice Tansey, MSN
• Atantany Tantawy
• Stephanie Rose Taraba
• Samantha Tarabiah
• Elizabeth Tarabour, LCSW
• Victoria Elise Tate, M.S.
• Antone John Tatooles, M.D.

• Dentist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.