NPIMap

Organization Active NPI

Gerald Ward DDS PC

Doing business as Burbank Family Dentistry

  • Dental Clinic/Center
  • Burbank, IL
National Provider Identifier
1609459619
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GERALD WARD DDS PC
Doing business as
Burbank Family Dentistry
Practice address
5530 W 79TH St
Burbank, IL 60459-1302
Phone
(708) 424-2900
Fax
(708) 424-6118
NPI assigned
Apr 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Dr. Gerald Ward, DDSNPI 1205009875
Title
Owner
Phone
(773) 318-7215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5530 W 79TH St
Burbank, IL 60459-1302

Mailing address

5530 W 79TH St
Burbank, IL 60459-1302
Phone (708) 424-2900

Other names 1

  • Burbank Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5530 W 79th St
Burbank, IL 60459
Phone (708) 424-2900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1609459619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591302",
            "telephone_number": "708-424-2900",
            "fax_number": "708-424-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591302",
            "telephone_number": "708-424-2900",
            "fax_number": "708-424-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD WARD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-318-7215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burbank Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.