NPIMap

Individual provider Active NPI

Bradley O'Reilly, D.M.D.

  • General Practice Dentistry
  • Schaumburg, IL
National Provider Identifier
1043693138
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.030224 Issued in IL
Practice address
1701 E Woodfield Rd
Ste 150
Schaumburg, IL 60173-5905
Phone
(847) 619-0330
Fax
(847) 517-8124
NPI assigned
Jul 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.030224 IL Primary

Addresses

Primary practice location

1701 E Woodfield Rd
Ste 150
Schaumburg, IL 60173-5905

Mailing address

1701 E Woodfield Rd
Ste 150
Schaumburg, IL 60173-5905
Phone (847) 619-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.030224ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Yangbasai Dong DMD PLLC Past Accepting new patients
O'Reilly Dental, LLC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1043693138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD RD",
            "address_2": "STE 150",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735905",
            "telephone_number": "847-619-0330",
            "fax_number": "847-517-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD RD",
            "address_2": "STE 150",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735905",
            "telephone_number": "847-619-0330",
            "fax_number": "847-517-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'REILLY",
        "first_name": "BRADLEY",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.030224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.