DR. DANIEL MICHAL DOMAGALA D.D.S., M.S.
NPI 1497993026
Dentist in Chicago, IL

Active since February 04, 2009Opted out of Medicare · through Oct 9, 2026
3208 N. MAJOR AVENUE, CHICAGO, IL 60634(773) 777-1111(773) 777-0730 Get Directions Write a Review

NPPES record last updated: September 13, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Daniel Michal Domagala D.d.s., M.s. NPPES

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

DR. DANIEL MICHAL DOMAGALA D.D.S., M.S. (NPI 1497993026) is an individual dentist in Chicago, Illinois, licensed in Illinois (019.027866) and active in the NPI registry since February 2009. He has opted out of Medicare through October 9, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497993026
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DANIEL MICHAL DOMAGALACredential: D.D.S., M.S.
Location Address3208 N. MAJOR AVENUEChicago, IL 60634
Mailing Address3208 N. Major AvenueChicago, IL 60634 · (773) 777-1111 · Fax (773) 777-0730
Fax(773) 777-0730
Sole ProprietorNo
Enumeration DateFebruary 4, 2009
Last NPPES UpdateSeptember 13, 2010
NPI 1497993026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in IL · 019.027866 Licensed in WI · 6468115
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.

Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License 019027866 (IL)
3208 N. MAJOR AVENUE, Chicago, IL 60634

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. Daniel Michal Domagala D.d.s., M.s. 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 October 9, 2014 through October 9, 2026.

Opt-Out Effective DateOctober 9, 2014
Opt-Out In Effect ThroughOctober 9, 2026Opt-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 60634 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.

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 Daniel Domagala's NPI number?

The NPI number for Daniel Domagala is 1497993026. It was assigned to this individual provider in the NPPES registry on February 4, 2009.

Where is Daniel Domagala located?

Daniel Domagala practices at 3208 N. Major Avenue, Chicago, IL 60634. The listed phone number is (773) 777-1111.

What is Daniel Domagala's specialty?

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

Is Daniel Domagala enrolled in Medicare?

No. Daniel Domagala has opted out of Medicare through October 9, 2026. 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 Daniel Domagala was last updated on September 13, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.