DR. ALAN RICHARD GOLDMAN DDS
NPI 1114168580
Dentist in Chicago, IL

Active since March 16, 2009Opted out of Medicare · through Apr 28, 2027
205 W RANDOLPH ST, SUITE 1800, CHICAGO, IL 60606(312) 920-0505(312) 920-9020 Get Directions Write a Review

NPPES record last updated: March 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alan Richard Goldman Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALAN RICHARD GOLDMAN DDS (NPI 1114168580) is an individual dentist in Chicago, Illinois, licensed in Illinois (19-13515) and active in the NPI registry since March 2009. He has opted out of Medicare through April 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114168580
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ALAN RICHARD GOLDMANCredential: DDS
Location Address205 W RANDOLPH ST, SUITE 1800Chicago, IL 60606-1867
Mailing Address205 W Randolph St, Suite 1800Chicago, IL 60606-1867 · (312) 920-0505 · Fax (312) 920-9020
Fax(312) 920-9020
Sole ProprietorYes
Enumeration DateMarch 16, 2009
NPI 1114168580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 19-13515
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
205 W RANDOLPH ST, Chicago, IL 60606

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Alan Richard Goldman Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 28, 2013 through April 28, 2027.

Opt-Out Effective DateApril 28, 2013
Opt-Out In Effect ThroughApril 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
205 W RANDOLPH ST, STE 830
CHICAGO, IL 60606
Chiropractor
205 W RANDOLPH ST, 1205
CHICAGO, IL 60606
Dentist (General Practice)
205 W RANDOLPH ST, SUITE 1800
CHICAGO, IL 60606
Chiropractor (Sports Physician)
205 W RANDOLPH ST, 1205
CHICAGO, IL 60606
Chiropractor
205 W RANDOLPH ST, 2010
CHICAGO, IL 60606
Chiropractor (Sports Physician)
205 W RANDOLPH ST, 1205
CHICAGO, IL 60606
Orthopaedic Surgery
205 W RANDOLPH ST, FL 7
CHICAGO, IL 60606
Counselor
205 W RANDOLPH ST
CHICAGO, IL 60606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alan Goldman's NPI number?

The NPI number for Alan Goldman is 1114168580. It was assigned to this individual provider in the NPPES registry on March 16, 2009.

Where is Alan Goldman located?

Alan Goldman practices at 205 W Randolph St Suite 1800, Chicago, IL 60606. The listed phone number is (312) 920-0505.

What is Alan Goldman's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Alan Goldman enrolled in Medicare?

No. Alan Goldman has opted out of Medicare through April 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Alan Goldman was last updated on March 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.