Active NPI
David Andrew Ingram, D.D.S
- Dentist
- Barrington, IL
National Provider Identifier
1063536746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19-020589
- Practice address
- 202 S Cook St
Ste 202
Barrington, IL 60010-4369 - Phone
- (847) 381-2000
- Fax
- (847) 381-9298
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19-020589 | IL | Primary |
Addresses
Primary practice location
202 S Cook St
Ste 202
Barrington, IL 60010-4369
Mailing address
202 S Cook St
Ste 202
Barrington, IL 60010
Phone (847) 381-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160106000523 | IL | Order and Referring Only - Dentist | 2961704010 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-020589 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063536746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S COOK ST",
"address_2": "STE 202",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "60010",
"telephone_number": "847-381-2000",
"fax_number": "847-381-9298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S COOK ST",
"address_2": "STE 202",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600104369",
"telephone_number": "847-381-2000",
"fax_number": "847-381-9298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "DAVID",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "19-020589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barrington, IL
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- Illinois Pain Treatment Institute, LTD
- Illinois Vein Specialists SC
- Innovative Dental Professionals
- Integral Behavioral Health Services
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- International Translators and Interpreters
- Laura Inverarity, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.