Active NPI
Billy B. Laun II, DDS, PC
- Oral and Maxillofacial Surgery (Dentist)
- Carbondale, IL
National Provider Identifier
1194381640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- BILLY B. LAUN II, DDS, PC
- Practice address
- 1111 E Walnut St Ste B
Carbondale, IL 62901-5000 - Phone
- (618) 529-2571
- Fax
- (618) 529-2572
- NPI assigned
- May 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Billy B Laun II, DDS
- Title
- Owner/Provider
- Phone
- (618) 529-2571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
1111 E Walnut St Ste B
Carbondale, IL 62901-5000
Mailing address
1111 E Walnut St Ste B
Carbondale, IL 62901-5000
Other names 1
- Oral & Maxillofacial Surgery of Carbondale, Inc
National Provider Directory
National Provider DirectoryLocations
1111 E Walnut St
Ste B
Carbondale, IL 62901
Phone (618) 529-2571
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Carbondale, IL
- NPI 1265832240
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2171607 | Oral & Maxillofacial Surgery of Carbondale | Certificate of waiver | Sep 4, 2027 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568160000000",
"number": "1194381640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 E WALNUT ST STE B",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629015000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 E WALNUT ST STE B",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629015000",
"telephone_number": "618-529-2571",
"fax_number": "618-529-2572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BILLY B. LAUN II, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-09",
"last_updated": "2019-09-11",
"status": "A",
"authorized_official_last_name": "LAUN",
"authorized_official_first_name": "BILLY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "618-529-2571",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oral & Maxillofacial Surgery of Carbondale, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.