Gerald Ward, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019026631 Issued in IL

Practice address

5530 W 79TH St
Burbank, IL 60459-1302

Phone

(708) 424-2900

Fax

(708) 424-6118

NPI assigned

Apr 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gerald Ward DDS PC

  dba Burbank Family Dentistry

  • Dental Clinic/Center
  • Burbank, IL
  • NPI 1609459619
  NPD Authorized official

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1205009875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591302",
            "telephone_number": "708-424-2900",
            "fax_number": "708-424-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591302",
            "telephone_number": "708-424-2900",
            "fax_number": "708-424-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-03",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026631",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veracare Brentwood, LLC
• Gabriela Villagomez
• Walgreen Co (Walgreens #15080)
• Jada Walker
• Chang-Yang Wang, M.D.
• Jeff Watkins
• West Suburban Medical Ctr. (Garden Center)
• Bradley Alan Wicknick, HIS
• Cristine S. Williams, RD, CDE
• Rebecca Wilson, D.O.

• General Practice Dentistry in Burbank, IL
• Providers in Burbank, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.