Gary G Alberts, GARY ALBERTS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-019-2008 Issued in IL

Practice address

821 Sunset Ridge Rd
Northbrook, IL 60062-4006

Phone

(847) 272-7874

Fax

(847) 272-9566

NPI assigned

Aug 31, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Bakman Dental Group, P.C.

  • General Practice Dentistry
  • Northbrook, IL
  • NPI 1497679062
  NPD (past)

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1124212253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 SUNSET RIDGE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624006",
            "telephone_number": "847-272-7874",
            "fax_number": "847-272-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 SUNSET RIDGE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624006",
            "telephone_number": "847-272-7874",
            "fax_number": "847-272-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTS",
        "first_name": "GARY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "GARY ALBERTS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-019-2008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadeem Akhter, M.D.
• Nagham A. Al-Bana, MD
• Amirah Al-Suleiman, MS, CRC, LPC
• Maia Albarrak
• Elana Albert, RBT-19-75540
• Jacob Edward Albertson
• Osvaldo Alcaraz
• Delia Aldridge, MD
• Raqaq Aderemi Alebiosu Jr., DC
• Jazmin Marie Alejandro, LSW

• General Practice Dentistry in Northbrook, IL
• Providers in Northbrook, 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 Aug 31, 2007; 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.