Blake Garrett, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

019.028707 Issued in IL

Practice address

533 W North Ave Ste 200
Elmhurst, IL 60126-2143

Phone

(630) 941-3400

NPI assigned

Jun 6, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2023 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Advanced Oral & Maxillofacial Surgery LTD.

  • Oral and Maxillofacial Surgery (Dentist)
  • Elmhurst, IL
  • NPI 1700956273
  NPD
• Don C. Kalant Sr., D.D.S. and Assoc

  • Oral and Maxillofacial Surgery (Dentist)
  • Naperville, IL
  • NPI 1801035092
  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1265726400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 W NORTH AVE STE 200",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262143",
            "telephone_number": "630-941-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W NORTH AVE STE 200",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262143",
            "telephone_number": "630-941-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019.028707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarzyna Gancarczyk, RN, MSN, PMHNP-C
• Autumn Garcia
• Coleen Garcia, MPT
• Rosario Garcia
• Akash Deep Garg, MD
• Elisabeth Ann Garrison, MSN, ACNP-BC
• Elena Garza
• Dawn Regina Gaskey, DC
• Jospeh A Gaspary
• Joseph Brian Gastala, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.

Verify at the official NPI Registry.