Active NPI
James Larkin O'Carroll, DDS
- General Practice Dentistry
- Des Plaines, IL
National Provider Identifier
1376816496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.0198899
- Practice address
- 712 Lee St
Des Plaines, IL 60016-4584 - Phone
- (847) 296-8111
- Fax
- (847) 296-8113
- NPI assigned
- Feb 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.0198899 | IL | Primary |
Addresses
Primary practice location
712 Lee St
Des Plaines, IL 60016-4584
Mailing address
712 Lee St
Des Plaines, IL 60016-4584
Phone (847) 296-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972682151 | Other | IL | DENTAL ORGANIZATION,APPLE DENTAL ASSOCIATES |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.0198899 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1376816496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 LEE ST",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164584",
"telephone_number": "847-296-8111",
"fax_number": "847-296-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 LEE ST",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164584",
"telephone_number": "847-296-8111",
"fax_number": "847-296-8113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CARROLL",
"first_name": "JAMES",
"middle_name": "LARKIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-21",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.0198899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL ORGANIZATION,APPLE DENTAL ASSOCIATES",
"identifier": "1972682151",
"state": "IL"
}
],
"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 Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.