Active NPI
Russell Martin Verbic, DDS
- Dentist
- Palatine, IL
National Provider Identifier
1265675540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019027712
- Practice address
- 220 N Smith St Ste 120
Palatine, IL 60067-2415 - Phone
- (847) 359-7980
- NPI assigned
- Apr 15, 2009
- 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 | 019027712 | IL | Primary |
Addresses
Primary practice location
220 N Smith St Ste 120
Palatine, IL 60067-2415
Mailing address
220 N Smith St Ste 120
Palatine, IL 60067-2415
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 |
|---|---|---|---|
| 019027712 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1265675540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N SMITH ST STE 120",
"city": "PALATINE",
"state": "IL",
"postal_code": "600672415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N SMITH ST STE 120",
"city": "PALATINE",
"state": "IL",
"postal_code": "600672415",
"telephone_number": "847-359-7980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERBIC",
"first_name": "RUSSELL",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-15",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019027712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.