Jill Randall Danaher, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

019028106 Issued in IL

Practice address

1625 Sheridan Rd Ste H
Wilmette, IL 60091-1800

Phone

(847) 634-6166

NPI assigned

May 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rockwall Orthodontics Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westport, CT
  • NPI 1508517756
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1033377684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 N GREEN BAY RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451103",
            "telephone_number": "203-494-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SHERIDAN RD STE H",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911800",
            "telephone_number": "847-634-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANAHER",
        "first_name": "JILL",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "008425",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019028106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Angela Curran, MA LCSW
• Cynthia L Bartholow MD PC
• Alexander Czop, LPC
• D C Optics LTD
• Craig James Daggett, PHARM D
• Katelyn Anne Dato-on, DO
• Caitlin Davies, PHARMD
• Jessica Dawson
• Maren W Deaver, LCSW
• Caralyn Debash

• Orthodontics and Dentofacial Orthopedics Dentistry in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.