Active NPI
Jeffrey H Hembrough, D.D.S.,M.S.
- Endodontics
- Oak Brook, IL
National Provider Identifier
1346572120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 019020273
- Practice address
- 120 Oakbrook Ctr
#714
Oak Brook, IL 60523-1806 - Phone
- (630) 654-3331
- Fax
- (630) 954-2910
- NPI assigned
- Feb 4, 2010
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 019020273 | IL | Primary |
Addresses
Primary practice location
120 Oakbrook Ctr
#714
Oak Brook, IL 60523-1806
Mailing address
120 Oakbrook Ctr
#714
Oak Brook, IL 60523-1806
Phone (630) 654-3331
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019020273 | IL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakbrook Endodontic Associates, LTD. | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endodontics
- Oak Brook, IL
- NPI 1104972694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1346572120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 OAKBROOK CTR",
"address_2": "#714",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231806",
"telephone_number": "630-654-3331",
"fax_number": "630-954-2910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 OAKBROOK CTR",
"address_2": "#714",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231806",
"telephone_number": "630-654-3331",
"fax_number": "630-954-2910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMBROUGH",
"first_name": "JEFFREY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-04",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IL",
"license": "019020273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.