Dan Vincent Follmer, DDS

Primary specialty

DentistTaxonomy code 122300000X

Practice address

615 E Liberty St
Wauconda, IL 60084-1963

Phone

(847) 526-2831

Fax

(847) 526-2858

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598838047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E LIBERTY ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600841963",
            "telephone_number": "847-526-2831",
            "fax_number": "847-526-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E LIBERTY ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600841963",
            "telephone_number": "847-526-2831",
            "fax_number": "847-526-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLLMER",
        "first_name": "DAN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ferrari, DPM
• Leslie D Ferrigan, P.T.
• First Step Foot Care, SC
• James P Flood, DPM
• Follmer and Podlasek Dentistry (Northwest Dental Health and Aesthetics)
• Bonnie Frank
• Michele R Frese, APN
• Tabitha Jenell Gardner, APN
• Shaily Gaudani, PA-C
• Rachael A Gere, M.S. CCC-SLP

• Dentist in Wauconda, IL
• Providers in Wauconda, IL by specialty
• Dentist in Illinois

• 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.