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Dr. Noelle Galiber Mccullom , DDS

Dentist - General Practice β€’ Chicago, IL

Active NPI 1831875475 Individual Practitioner Female Practitioner
Practice location in NPPES

820 E 87th St Ste 201
Chicago, IL 606196256

Call 7734883738 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

820 E 87th St Ste 201

Chicago, IL 606196256

Telephone 7734883738
Organization at the Same NPPES Address or Phone
Dental Dream Team Associates Llc Yetta Mccullom Sole Mbr Facility NPI 1972145183

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chicago and Illinois

1,148 active clinicians are listed under Dentist - General Practice with a practice address in Chicago, IL (5,281 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

0.1% of these 1,148 clinicians have the CMS telehealth indicator.

0% of these 1,148 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES IL 019.034521

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Cornell Mccullom , DDS, MD

Dentist - Oral and Maxillofacial Surgery

NPI 1619124807

Doctor of Dental Surgery, Doctor of Medicine (M.D.)

Dr. Yetta Mccullom , DDS, MA

Dentist - Periodontics

NPI 1285884791

Doctor of Dental Surgery, Master of Arts

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 01, 2024

Registered at 820 E 87TH ST STE 201, CHICAGO, IL 606196256 (Tel: 7734883738)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2024

Dentist (license number reported to NPPES: IL 019.034521)

βœ…
NPI Profile Active June 27, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 27, 2023

Registered at 820 S DAMEN AVE, CHICAGO, IL 606123728 (Tel: 3125698387)

πŸ“
Business Mailing Address (Initial Record) June 27, 2023

Registered at 820 E 87TH ST STE 201, CHICAGO, IL 606196256 (Tel: 7734883738)

πŸ‘€
Provider Name / Credentials (Initial Record) June 27, 2023

Recorded as NOELLE MCCULLOM, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 27, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831875475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2023
Last Update: August 01, 2024
Sole Proprietor: Yes

Other Dentist - General Practices in Chicago

All Dentist - General Practices in Chicago

Mailing Address

820 E 87th St Ste 201

Chicago, IL 606196256

Phone: 7734883738

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.