Organization Active NPI

Jeffrey Gilmor DDS LTD

Doing business as Glen Dental Center

  • Dentist
  • Glenview, IL
National Provider Identifier
1306241138
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JEFFREY GILMOR DDS LTD
Doing business as
Glen Dental Center
Practice address
2222 Chestnut Ave Ste 200
Glenview, IL 60026-1679
Phone
(847) 486-1222
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Dr. Jeffrey Gilmor, DDS
Title
President
Phone
(847) 486-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2222 Chestnut Ave Ste 200
Glenview, IL 60026-1679

Mailing address

2222 Chestnut Ave Ste 200
Glenview, IL 60026-1679

Other names 1

  • Glen Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

2222 Chestnut Ave
Ste 200
Glenview, IL 60026
Phone (847) 486-1222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1306241138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 CHESTNUT AVE STE 200",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CHESTNUT AVE STE 200",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261679",
            "telephone_number": "847-486-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY GILMOR DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "GILMOR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-486-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.