NPIMap

Organization Active NPI

Randy Halihan Family Dentistry

  • General Practice Dentistry
  • Crystal Lake, IL
National Provider Identifier
1558768879
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024027 Issued in IL
Legal business name
RANDY HALIHAN FAMILY DENTISTRY
Practice address
149 N Virginia St
Suite 100
Crystal Lake, IL 60014-3400
Phone
(815) 444-6444
Fax
(815) 444-6446
NPI assigned
Dec 2, 2014
Last updated
Dec 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Dr. Randy J Halihan, D. O.NPI 1043387335
Title
Dentist/Owner
Phone
(815) 444-6444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019024027 IL Primary

Addresses

Primary practice location

149 N Virginia St
Suite 100
Crystal Lake, IL 60014-3400

Mailing address

149 N Virginia St
Suite 100
Crystal Lake, IL 60014-3400
Phone (815) 444-6444

National Provider Directory

National Provider Directory

Locations

149 N Virginia St
Ste 100
Crystal Lake, IL 60014
Phone (815) 444-6444

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1558768879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 N VIRGINIA ST",
            "address_2": "SUITE 100",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143400",
            "telephone_number": "815-444-6444",
            "fax_number": "815-444-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N VIRGINIA ST",
            "address_2": "SUITE 100",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143400",
            "telephone_number": "815-444-6444",
            "fax_number": "815-444-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY HALIHAN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "HALIHAN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "815-444-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.