Active NPI
Randall William Esbrook, DDS
- Dentist
- South Barrington, IL
National Provider Identifier
1164544391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019016173
- Practice address
- 8 Executive CT
Suite 2
South Barrington, IL 60010-9531 - Phone
- (847) 382-0700
- Fax
- (847) 382-0707
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019016173 | IL | Primary |
Addresses
Primary practice location
8 Executive CT
Suite 2
South Barrington, IL 60010-9531
Mailing address
16 12 Lakes CT
Lake in the Hills, IL 60156-6334
Phone (847) 458-4280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019016173 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164544391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 12 LAKES CT",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601566334",
"telephone_number": "847-458-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 EXECUTIVE CT",
"address_2": "SUITE 2",
"city": "SOUTH BARRINGTON",
"state": "IL",
"postal_code": "600109531",
"telephone_number": "847-382-0700",
"fax_number": "847-382-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESBROOK",
"first_name": "RANDALL",
"middle_name": "WILLIAM",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019016173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.