Organization Active NPI

James W McGough DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Aurora, IL
National Provider Identifier
1073634051
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
JAMES W MCGOUGH DDS PC
Practice address
345 Sullivan Rd
Aurora, IL 60506-1465
Phone
(630) 892-1515
Fax
(630) 892-1583
NPI assigned
Apr 3, 2007
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. James Walter McGough, DDS
Title
President
Phone
(630) 892-1515

Specialties & licenses 1

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

Addresses

Primary practice location

345 Sullivan Rd
Aurora, IL 60506-1465

Mailing address

345 Sullivan Rd
Aurora, IL 60506-1465
Phone (630) 892-1515

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073634051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 SULLIVAN RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061465",
            "telephone_number": "630-892-1515",
            "fax_number": "630-892-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SULLIVAN RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061465",
            "telephone_number": "630-892-1515",
            "fax_number": "630-892-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W MCGOUGH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGOUGH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-892-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, 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.