Debbie G Manos-Balis, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019022552 Issued in IL

Practice address

4200 Euclid Ave Ste 200
Rolling Meadows, IL 60008-2083

Phone

(847) 253-8505

Fax

(847) 253-8531

NPI assigned

Dec 11, 2006

Sex

Female

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

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.

Opted out of Medicare

Yes, effective Nov 22, 2022 through Nov 22, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1992865927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 EUCLID AVE STE 200",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600082083",
            "telephone_number": "847-312-6116",
            "fax_number": "847-253-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 EUCLID AVE STE 200",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600082083",
            "telephone_number": "847-253-8505",
            "fax_number": "847-253-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOS-BALIS",
        "first_name": "DEBBIE",
        "middle_name": "G",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019022552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandeep Mahajan, MD
• Gerald W Malis, DDS
• Mandalay Clinic LLC
• Lauren Manola, LCSW
• Manor Care of Rolling Meadows Il LLC
• Amy L. Marcheschi, P.A.
• Michael Robert Marcucci, M.A., CCC-SLP
• Maria Powell, M.D., S.C.
• Marietta a Bufalino Inc
• Angela Martirosyan, DMD

• General Practice Dentistry in Rolling Meadows, IL
• Providers in Rolling Meadows, 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 Jul 28, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.