DR. RANDALL OLIVA D.D.S.
NPI 1881740751
Dentist in Park Ridge, IL

Active since January 25, 2007Opted out of Medicare · through Jun 9, 2028
650 N NORTHWEST HWY, PARK RIDGE, IL 60068(847) 292-2700(847) 292-2703 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randall Oliva D.d.s. NPPES

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

DR. RANDALL OLIVA D.D.S. (NPI 1881740751) is an individual dentist in Park Ridge, Illinois and active in the NPI registry since January 2007. He has opted out of Medicare through June 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1881740751
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RANDALL OLIVACredential: D.D.S.
Location Address650 N NORTHWEST HWYPark Ridge, IL 60068-2554
Mailing Address650 N Northwest HwyPark Ridge, IL 60068-2554 · (847) 292-2700 · Fax (847) 292-2703
Fax(847) 292-2703
Sole ProprietorNo
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1881740751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
650 N NORTHWEST HWY, Park Ridge, IL 60068

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. Randall Oliva D.d.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 June 9, 2016 through June 9, 2028.

Opt-Out Effective DateJune 9, 2016
Opt-Out In Effect ThroughJune 9, 2028Opt-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 60068 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 2

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

Dental Hygienist
650 N NORTHWEST HWY
PARK RIDGE, IL 60068
Dentist
650 N NORTHWEST HWY
PARK RIDGE, IL 60068

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 Randall Oliva's NPI number?

The NPI number for Randall Oliva is 1881740751. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Randall Oliva located?

Randall Oliva practices at 650 N Northwest Hwy, Park Ridge, IL 60068. The listed phone number is (847) 292-2700.

What is Randall Oliva's specialty?

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

Is Randall Oliva enrolled in Medicare?

No. Randall Oliva has opted out of Medicare through June 9, 2028. 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 Randall Oliva was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.