Philip Nebres

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.034117 Issued in IL

Practice address

1264 N Lake St
Aurora, IL 60506-2453

Phone

(630) 801-9028

NPI assigned

Mar 20, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1023767928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 MATHER CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 N LAKE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605062453",
            "telephone_number": "630-801-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBRES",
        "first_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-20",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.034117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ganime Nazif, LCSW, CADC, CDVP
• NBC Wellness & Stretch
• Vivian Adeck Ndangoh-Tendong, DNP
• Fuhrer Kah Ndokoh, R.N.
• Crystal Denese Neal, LCPC
• T S Neelakantam, M.D.
• Linda M Neff Fitzpatrick
• Laura Neilsen, PA-C
• Terri E Nelles
• Allison Jean Nelson, PA-C

• General Practice Dentistry in Aurora, IL
• Providers in Aurora, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.