Individual provider Active NPI

Aaron Daniel Figueroa, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Northbrook, IL
National Provider Identifier
1508124785
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
019031059 Issued in IL
Practice address
1240 Meadow Rd Ste 300
Northbrook, IL 60062-3679
Phone
(847) 272-9516
Fax
(847) 272-9551
NPI assigned
Apr 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 019031059 IL Primary

Addresses

Primary practice location

1240 Meadow Rd Ste 300
Northbrook, IL 60062-3679

Mailing address

1240 Meadow Rd Ste 300
Northbrook, IL 60062-3679
Phone (847) 272-9516

Other practice location 1

810 S Waukegan Rd
Lake Forest, IL 60045-2693
Phone (847) 234-7818

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@nscoralsurgery.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20170727000055 IA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 9931493913 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019031059ILMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Jul 1, 2017 Accepting new patients
State University of Iowa Oral and Maxillofacial Surgery CurrentSince Jul 1, 2017 Accepting new patients

Locations

322 Dental Science S
Iowa City, IA 52242
Phone (319) 335-7342

200 Hawkins Dr
#51300
Iowa City, IA 52242
Phone (319) 356-2205

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

322 Dental Science S
Bldg S
Iowa City, IA 52242
Phone (319) 384-1139

Interoperability endpoints

  • Direct secure messaging: afigueroa60267@uihcdirect.org

Organizations & group practices 2

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": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1508124785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 MEADOW RD STE 300",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623679",
            "telephone_number": "847-272-9516",
            "fax_number": "847-272-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 MEADOW RD STE 300",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623679",
            "telephone_number": "847-272-9516",
            "fax_number": "847-272-9551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 S Waukegan Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600452693",
            "country_code": "US",
            "telephone_number": "847-234-7818",
            "fax_number": "847-234-7814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "AARON",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019031059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@nscoralsurgery.com",
            "affiliation": "N",
            "address_1": "810 S Waukegan Rd",
            "city": "Lake Forest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600452693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.