Active NPI
Gregory Michael Freebeck, DDS
- Dentist
- Downers Grove, IL
National Provider Identifier
1528136116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19022137
- Practice address
- 6800 Main Street
Downers Grove, IL 60516-3478 - Phone
- (630) 969-5350
- Fax
- (630) 969-4692
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 19022137 | IL | Primary |
Addresses
Primary practice location
6800 Main Street
Downers Grove, IL 60516-3478
Mailing address
6800 Main Street
Downers Grove, IL 60516-3478
Phone (630) 969-5350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 9, 2015 through Mar 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19022137 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grove Dental Associates., P.C. | Dentist | Past | 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.
-
- Dentist
- Downers Grove, IL
- NPI 1841378015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528136116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 MAIN STREET",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605163478",
"telephone_number": "630-969-5350",
"fax_number": "630-969-4692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 MAIN STREET",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605163478",
"telephone_number": "630-969-5350",
"fax_number": "630-969-4692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEBECK",
"first_name": "GREGORY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "19022137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downers Grove, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.