Individual provider Active NPI

Michael Alexander, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Winnetka, IL
National Provider Identifier
1376955443
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
019019543 Issued in IL
Practice address
800 Oak St
Suite 101
Winnetka, IL 60093-2555
Phone
(847) 446-1560
NPI assigned
May 23, 2014
Last updated
May 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 019019543 IL Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN15227 MA

Addresses

Primary practice location

800 Oak St
Suite 101
Winnetka, IL 60093-2555

Mailing address

800 Oak St
Suite 101
Winnetka, IL 60093-2555

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

State licenses

LicenseStateTypeSpecialty
DN15227MAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Jared G Curtin DDS PLLC Oral and Maxillofacial Surgery CurrentSince Feb 1, 2022 Accepting new patients
Alexander Oral Surgery, LTD. Past Accepting new patients
Lakeside Oral & Implant Surgery Institute, PC Past Accepting new patients

Locations

12 Parmenter Rd
Unit A2
Londonderry, NH 03053
Phone (603) 437-7600

395 Main St
Ste 1
Salem, NH 03079
Phone (603) 893-7601

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1376955443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OAK ST",
            "address_2": "SUITE 101",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK ST",
            "address_2": "SUITE 101",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932555",
            "telephone_number": "847-446-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019019543",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN15227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.