Individual provider Active NPI

James Everett Parkhill, DMD

  • General Practice Dentistry
  • Libertyville, IL
National Provider Identifier
1376684753
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
301 Peterson Rd
Ste B
Libertyville, IL 60048-1041
Phone
(847) 367-4433
Fax
(847) 367-4436
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

301 Peterson Rd
Ste B
Libertyville, IL 60048-1041

Mailing address

29845 N Forest Lake LN
Libertyville, IL 60048-2468
Phone (847) 367-0814

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

State licenses

LicenseStateTypeSpecialty
019-020417ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376684753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29845 N FOREST LAKE LN",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482468",
            "telephone_number": "847-367-0814",
            "fax_number": "847-367-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PETERSON RD",
            "address_2": "STE B",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481041",
            "telephone_number": "847-367-4433",
            "fax_number": "847-367-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKHILL",
        "first_name": "JAMES",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.