Individual provider Active NPI

Charles Thomas Bond II, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Northbrook, IL
National Provider Identifier
1609489814
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
019032532 Issued in IL
Practice address
1107 Waukegan Rd
Northbrook, IL 60062-4662
Phone
(224) 904-2299
Fax
(224) 904-2255
NPI assigned
Aug 27, 2020
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 019032532 IL Primary

Addresses

Primary practice location

1107 Waukegan Rd
Northbrook, IL 60062-4662

Mailing address

1107 Waukegan Rd
Northbrook, IL 60062-4662
Phone (224) 904-2299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019032532ILMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bond Orthodontics Orthodontics and Dentofacial Orthopedics CurrentSince Feb 4, 2024 Accepting new patients
Lisa Grant Orthodontics Orthodontics and Dentofacial Orthopedics PastSince Sep 10, 2023 Accepting new patients

Locations

1107 Waukegan Rd
Northbrook, IL 60062
Phone (757) 375-3118

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1609489814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 WAUKEGAN RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624662",
            "telephone_number": "224-904-2299",
            "fax_number": "224-904-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 WAUKEGAN RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624662",
            "telephone_number": "224-904-2299",
            "fax_number": "224-904-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "CHARLES",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-27",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019032532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.