NPIMap

Individual provider Active NPI

Gary L Ahasic, D.M.D.

  • Dentist
  • Aurora, IL
National Provider Identifier
1346548971
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019015986 Issued in IL
Practice address
541 Sullivan Rd
Aurora, IL 60506-1406
Phone
(630) 897-1156
NPI assigned
Mar 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019015986 IL Primary

Addresses

Primary practice location

541 Sullivan Rd
Aurora, IL 60506-1406

Mailing address

541 Sullivan Rd
Aurora, IL 60506-1406
Phone (630) 897-1156

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laurence a. Sexton, D.D.S., PC Past Accepting new patients
Gary L. Ahasic, D.M.D., PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1346548971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 SULLIVAN RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061406",
            "telephone_number": "630-897-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SULLIVAN RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061406",
            "telephone_number": "630-897-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHASIC",
        "first_name": "GARY",
        "middle_name": "L",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019015986",
            "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 7, 2011; 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.