Individual provider Active NPI

Richard J Chroust, DDS

  • General Practice Dentistry
  • Aurora, IL
National Provider Identifier
1336214519
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019016458 Issued in IL
Practice address
1240 N Highland Ave
Suite 7
Aurora, IL 60506-1453
Phone
(630) 892-8300
Fax
(630) 897-2790
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019016458 IL Primary

Addresses

Primary practice location

1240 N Highland Ave
Suite 7
Aurora, IL 60506-1453

Mailing address

1217 Oak St
Suite 7
North Aurora, IL 60542-2006
Phone (630) 907-9933

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1336214519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 OAK ST",
            "address_2": "SUITE 7",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605422006",
            "telephone_number": "630-907-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N HIGHLAND AVE",
            "address_2": "SUITE 7",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061453",
            "telephone_number": "630-892-8300",
            "fax_number": "630-897-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHROUST",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019016458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.