Daniel J Boarini, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

800 Main St
Antioch, IL 60002-1542

Phone

(847) 395-1461

Fax

(847) 395-9255

NPI assigned

Jan 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 IL

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

Practice roles

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

• Lake Geneva Dental Care LLC

  • General Practice Dentistry
  • Lake Geneva, WI
  • NPI 1083732101
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073669131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021542",
            "telephone_number": "847-395-1461",
            "fax_number": "847-395-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021542",
            "telephone_number": "847-395-1461",
            "fax_number": "847-395-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARINI",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Lee Bennett, D.D.S.
• Lisa M Berg, LCSW
• Liam Bernabe
• Beyond Rehab, LLC
• Beau Blumenschein, PHARM.D.
• Danielle Boettcher, LCPC, PHD
• Debora A Boucher, APRN-FPA, CNM
• Carl Lee Brakman, LCSW
• Danielle Brose, MS, OTR/L
• Linda Mary Brown, PSY.D

• General Practice Dentistry in Antioch, IL
• Providers in Antioch, 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 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.

Verify at the official NPI Registry.