Individual provider Active NPI

Jeffrey S Garbe, D.D.S.

  • General Practice Dentistry
  • La Grange, IL
National Provider Identifier
1134327000
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-021860 Issued in IL
Practice address
606 W Burlington Ave
La Grange, IL 60525-2228
Phone
(708) 352-2250
Fax
(708) 352-2411
NPI assigned
Jul 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-021860 IL Primary

Addresses

Primary practice location

606 W Burlington Ave
La Grange, IL 60525-2228

Mailing address

606 W Burlington Ave
La Grange, IL 60525-2228
Phone (708) 352-2250

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20241016001530 IN Practitioner - Dentist 3072817089 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-021860ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Health Centers Inc Current Accepting new patients
Northshore Health Centers, Inc. CurrentSince Sep 23, 2024 Accepting new patients
Northshore Health Centers, Inc. CurrentSince Sep 23, 2024 Accepting new patients

Locations

310 W 112th Ave
Crown Point, IN 46307
Phone (219) 763-8113

6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188

Interoperability endpoints

  • Direct secure messaging: jeffery.garbe.p1@direct.northshorehealth.nextgenshare.com
  • Direct secure messaging: jeffrey.garby.p1@direct.northshorehealth.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134327000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W BURLINGTON AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252228",
            "telephone_number": "708-352-2250",
            "fax_number": "708-352-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W BURLINGTON AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252228",
            "telephone_number": "708-352-2250",
            "fax_number": "708-352-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBE",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-021860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

Verify at the official NPI Registry.