NPIMap

Organization Active NPI

Mej & Associates Enterprises LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Crystal Lake, IL
National Provider Identifier
1013028398
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
21002105 Issued in IL
Legal business name
MEJ & ASSOCIATES ENTERPRISES LLC
Practice address
1500 Carlemont Dr
Suite #F
Crystal Lake, IL 60014-1833
Phone
(815) 356-3977
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Edwin Jones, D.D.S.NPI 1215955745
Title
President
Phone
(815) 356-3977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 21002105 IL Primary

Addresses

Primary practice location

1500 Carlemont Dr
Suite #F
Crystal Lake, IL 60014-1833

Mailing address

1500 Carlemont Dr
Suite #F
Crystal Lake, IL 60014-1833
Phone (815) 356-3977

Other names 1

  • Fox River Oral and Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

1500 Carlemont Dr
Ste F
Crystal Lake, IL 60014
Phone (815) 356-3977

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013028398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CARLEMONT DR",
            "address_2": "SUITE #F",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141833",
            "telephone_number": "815-356-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CARLEMONT DR",
            "address_2": "SUITE #F",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141833",
            "telephone_number": "815-356-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEJ & ASSOCIATES ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-356-3977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "21002105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fox River Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.