Michael Kirk Subtelny, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.031632 Issued in IL

Practice address

4401 W Lawrence Ave
Chicago, IL 60630-2510

Phone

(773) 725-6086

NPI assigned

Jun 11, 2018

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

Practice roles

Locations

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.

• M. Subtelny DMD PC

  dba Palatine Complete Dental

  • Dental Clinic/Center
  • Palatine, IL
  • NPI 1023978111
  NPD Authorized official
• Michael Subtelny DMD, PLLC

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1497331755
  NPD Authorized official

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1952894248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302510",
            "telephone_number": "773-725-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302510",
            "telephone_number": "773-725-6086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1991 Wiesbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "605438311",
            "country_code": "US",
            "telephone_number": "630-801-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBTELNY",
        "first_name": "MICHAEL",
        "middle_name": "KIRK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anatoly Subota, D.C
• Anusuya Subramanian
• Seshan Subramanian, MD
• Siddarth Subramanian
• Tejas Subramanian
• Subtle Shifts Chicago, PLLC
• Suburban Emergency Physicians Group, SC
• Suburban Family Dental Center, Inc.
• Suburban Orthopaedics (Suburban Orthopaedics Ltd)
• Suburban Podiatry Group, PC (Sugar-Free Shoes)

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Mar 18, 2021; 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.