Organization Active NPI

Barrington Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Barrington, IL
National Provider Identifier
1073780599
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
021001585 Issued in IL
Legal business name
BARRINGTON ORAL & MAXILLOFACIAL SURGERY
Practice address
101 Lions Dr
Suite 116
Barrington, IL 60010-3181
Phone
(847) 382-4224
Fax
(847) 382-4487
NPI assigned
May 14, 2008
Last updated
Oct 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Dr. John Walker Van Gilder, DDSNPI 1639236755
Title
Owner/Oral Surgeon
Phone
(847) 385-4224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 021001585 IL Primary

Addresses

Primary practice location

101 Lions Dr
Suite 116
Barrington, IL 60010-3181

Mailing address

101 Lions Dr
Suite 116
Barrington, IL 60010-3181
Phone (847) 382-4224

National Provider Directory

National Provider Directory

Locations

101 Lions Dr
Ste 116
Barrington, IL 60010
Phone (847) 382-4224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1073780599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LIONS DR",
            "address_2": "SUITE 116",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103181",
            "telephone_number": "847-382-4224",
            "fax_number": "847-382-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LIONS DR",
            "address_2": "SUITE 116",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103181",
            "telephone_number": "847-382-4224",
            "fax_number": "847-382-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRINGTON ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "VAN GILDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "OWNER/ORAL SURGEON",
        "authorized_official_telephone_number": "847-385-4224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021001585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.