Organization Active NPI

John Brunetti, DMD, LTD.

  • Oral and Maxillofacial Surgery (Dentist)
  • Vernon Hills, IL
National Provider Identifier
1124257571
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
019025890 Issued in IL
Legal business name
JOHN BRUNETTI, DMD, LTD.
Practice address
1 E Phillip Rd
Suite 101
Vernon Hills, IL 60061-1858
Phone
(847) 367-4190
Fax
(847) 367-5010
NPI assigned
Jul 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
John BrunettiNPI 1982742938
Title
President
Phone
(847) 367-4190

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)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 019025890 IL Primary

Addresses

Primary practice location

1 E Phillip Rd
Suite 101
Vernon Hills, IL 60061-1858

Mailing address

1 E Phillip Rd Ste 101
Vernon Hills, IL 60061-1858
Phone (847) 367-4190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090910000573 IL Part B Supplier - Clinic/Group Practice 3476608670 Receives reassigned benefits from 1 practitioner
Practice locations: Vernon Hills, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1124257571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E PHILLIP RD STE 101",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611858",
            "telephone_number": "847-367-4190",
            "fax_number": "847-367-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E PHILLIP RD",
            "address_2": "SUITE 101",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611858",
            "telephone_number": "847-367-4190",
            "fax_number": "847-367-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BRUNETTI, DMD, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "BRUNETTI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-367-4190"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019025890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.