Active NPI
Cary A Adams, DENTIST
- General Practice Dentistry
- Skokie, IL
National Provider Identifier
1295958171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Practice address
- Old Orchard Prof. BLDG.
64 Old Orchard Road, Su. 500
Skokie, IL 60077 - Phone
- (847) 677-8553
- NPI assigned
- Apr 10, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Primary |
Addresses
Primary practice location
Old Orchard Prof. BLDG.
64 Old Orchard Road, Su. 500
Skokie, IL 60077
Mailing address
64 Old Orchard Rd
Suite 500
Skokie, IL 60077
Phone (847) 677-8553
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 |
|---|---|---|---|
| 019017158 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1295958171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 OLD ORCHARD RD",
"address_2": "SUITE 500",
"city": "SKOKIE",
"state": "IL",
"postal_code": "60077",
"telephone_number": "847-677-8553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OLD ORCHARD PROF. BLDG.",
"address_2": "64 OLD ORCHARD ROAD, SU. 500",
"city": "SKOKIE",
"state": "IL",
"postal_code": "60077",
"telephone_number": "847-677-8553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "CARY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DENTIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.