Individual provider Active NPI

Patrick A Ohara, DMD

  • Endodontics
  • Schaumburg, IL
National Provider Identifier
1386954477
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
021.002516 Issued in IL
Practice address
808 E Woodfield Rd Ste 300
Schaumburg, IL 60173-4836
Phone
(847) 517-8330
Fax
(847) 517-8331
NPI assigned
Oct 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 021.002516 IL Primary
Dentist 122300000X 019.028334 IL

Addresses

Primary practice location

808 E Woodfield Rd Ste 300
Schaumburg, IL 60173-4836

Mailing address

808 E Woodfield Rd Ste 300
Schaumburg, IL 60173-4836
Phone (847) 517-8330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150303002468 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2961728233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.028334ILMDDentist
021.002516ILMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Jwwdental LLC Endodontics PastSince Oct 2, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1386954477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E WOODFIELD RD STE 300",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734836",
            "telephone_number": "847-517-8330",
            "fax_number": "847-517-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 E WOODFIELD RD STE 300",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734836",
            "telephone_number": "847-517-8330",
            "fax_number": "847-517-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHARA",
        "first_name": "PATRICK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-07",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021.002516",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.028334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.