Active NPI
Andrew Partridge, D.D.S.
- Dentist
- Des Plaines, IL
National Provider Identifier
1326431362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019029903
- Practice address
- 690 1St Ave
Des Plaines, IL 60016-9110 - Phone
- (847) 635-6268
- NPI assigned
- Mar 16, 2015
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019029903 | IL | Primary |
Addresses
Primary practice location
690 1St Ave
Des Plaines, IL 60016-9110
Mailing address
690 1St Ave
Des Plaines, IL 60016-9110
Phone (847) 635-6268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160602001908 | IL | Order and Referring Only - Dentist | 8426348483 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partridge Dental, Prof. Corp. | Past | Accepting new patients | |
| Partridge Dental | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Des Plaines, IL
- NPI 1598390577
-
- General Practice Dentistry
- Des Plaines, IL
- NPI 1255748299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426464000000",
"number": "1326431362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 1ST AVE",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600169110",
"telephone_number": "847-635-6268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 1ST AVE",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600169110",
"telephone_number": "847-635-6268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARTRIDGE",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-16",
"last_updated": "2015-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.