NPIMap

Organization Active NPI

Hawthorn Dental Associates

  • General Practice Dentistry
  • Vernon Hills, IL
National Provider Identifier
1164537080
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0600069321 Issued in IL
Legal business name
HAWTHORN DENTAL ASSOCIATES
Practice address
1220 E US Highway 45
Suite 200
Vernon Hills, IL 60061-4114
Phone
(847) 821-7222
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Maureen Kugel
Title
Manager
Phone
(847) 821-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 0600069321 IL Primary

Addresses

Primary practice location

1220 E US Highway 45
Suite 200
Vernon Hills, IL 60061-4114

Mailing address

1220 E US Highway 45
Suite 200
Vernon Hills, IL 60061-4114
Phone (847) 821-7222

National Provider Directory

National Provider Directory

Locations

1220 E US Highway 45
Ste 200
Vernon Hills, IL 60061
Phone (847) 821-7222

Practitioners & affiliated clinicians

Practitioners 3

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1164537080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E US HIGHWAY 45",
            "address_2": "SUITE 200",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600614114",
            "telephone_number": "847-821-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E US HIGHWAY 45",
            "address_2": "SUITE 200",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600614114",
            "telephone_number": "847-821-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORN DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "KUGEL",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-821-7222"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "0600069321",
            "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 May 25, 2011; 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.