Active NPI
Robert B John
- General Practice Dentistry
- Naperville, IL
National Provider Identifier
1245329291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019-020000
- Practice address
- 518 Springhill Cir
Suite 717
Naperville, IL 60563-3326 - Phone
- (630) 961-5732
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019-020000 | IL | Primary |
Addresses
Primary practice location
518 Springhill Cir
Suite 717
Naperville, IL 60563-3326
Mailing address
518 Springhill Cir
Naperville, IL 60563-3326
Phone (630) 961-5732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 21, 2015 through Sep 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-020000 | IL | MD | General Practice Dentistry |
Interoperability endpoints
- rjohn18627@direct.midwestern.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1245329291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 SPRINGHILL CIR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605633326",
"telephone_number": "630-961-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 SPRINGHILL CIR",
"address_2": "SUITE 717",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605633326",
"telephone_number": "630-961-5732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "ROBERT",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019-020000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.