SCOTT D. GOLDMAN, DDS, PC (NPI# 1235433012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235433012 |
| Entity Type | Organization |
| Organization Name | SCOTT D. GOLDMAN, DDS, PC |
| Practice Address |
2050 Larkin Ave Suite 100 Elgin IL 60123-4405 |
| Practice Telephone | 8479870322 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | DR. SCOTT D. GOLDMAN (PRESIDENT) |
| Authorized Official Telephone | 8479870322 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
021002316 | IL | Dental Providers |
| Street Address |
2050 LARKIN AVE SUITE 100 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598758047 | Roop Rekha Shivpuri | Specialist | 2050 Larkin Ave, Elgin, IL 60123-5888 | 2005-08-30 |
| 1336639632 | Kerry Voss | Social Worker | 2050 Larkin Ave, Elgin, IL 60123-4405 | 2018-05-14 |
| 1841620762 | All Kids Dental Center, LLC | Dentist | 2050 Larkin Ave, Ste. #100, Elgin, IL 60123-4405 | 2013-11-13 |
| 1588002729 | Nicole M Hensen | Counselor | 2050 Larkin Ave, Suite #202, Elgin, IL 60123-4405 | 2013-06-10 |
| 1023351376 | William Bautista | Social Worker | 2050 Larkin Ave, Suite #202, Elgin, IL 60123-4405 | 2013-04-04 |
| 1285971424 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 2050 Larkin Ave, Elgin, IL 60123-4405 | 2013-01-08 |
| 1265717276 | Pediatric and Family Dental PC | Dentist | 2050 Larkin Ave, Suite 100, Elgin, IL 60123-4405 | 2011-10-21 |
| 1508096108 | Patricia J Zacharias | Counselor | 2050 Larkin Ave, Suite 202, Elgin, IL 60123-4405 | 2009-07-17 |
| 1700064425 | Effie Crambes | Social Worker | 2050 Larkin Ave, Suite 202, Elgin, IL 60123-4405 | 2008-02-05 |
| 1053599753 | Michelle Potter | Counselor | 2050 Larkin Ave, Suite 202, Elgin, IL 60123-4405 | 2008-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235587700 | Elgin Pediatric Dental Pllc | Dentist | 250 W Us Highway 290 # A, Elgin, TX 78621-3206 | 2016-05-25 |
| 1497185185 | Harry O Channon Sr. | Dentist | 8n515 Shady Ln, Elgin, IL 60124-8557 | 2013-11-18 |
| 1265717276 | Pediatric and Family Dental PC | Dentist | 2050 Larkin Ave, Suite 100, Elgin, IL 60123-4405 | 2011-10-21 |
| 1265748149 | Dale Charles Nickelsen | Dentist | 860 Summit St, Ste 246, Elgin, IL 60120-5145 | 2010-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709433 | Children's Center for Dentistry | Dentist | 314 Susan Dr, Normal, IL 61761-6206 | 2020-10-26 |
| 1073125746 | Jessica Mattern Dds, Pllc | Dentist | 326 W Burlington Ave, La Grange, IL 60525-2363 | 2020-08-23 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1710450754 | Drs Selberg & Rice Pllc | Dentist | 4945 Stone Falls Ctr Ste B, O Fallon, IL 62269-7801 | 2019-01-02 |
| 1821583634 | Dentalgenix | Dentist | 113 E Schaumburg Rd, Schaumburg, IL 60194-3518 | 2018-06-25 |
| 1528562253 | Rachel Vorwaller | Dentist | 1460 N Halsted St Ste 403, Chicago, IL 60642-2607 | 2018-03-19 |
| 1942740006 | Dhwani M. Joshi | Dentist | 195 S Rand Rd Ste 110, Lake Zurich, IL 60047-2205 | 2017-03-08 |
| 1316393390 | Erin Marie Petrik | Dentist | 2530 N Clark St, Apt 203, Chicago, IL 60614-4972 | 2016-05-10 |
| 1669839593 | Algonquin Kids Dentistry, Inc | Dentist | 4097 W Algonquin Rd, Algonquin, IL 60102-9401 | 2016-01-22 |
| 1720468598 | Mehedia Haque | Dentist | 2062 N Milwaukee Ave, Chicago, IL 60647 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.