Individual provider Active NPI

Donald Bruce Chinlund, D.D.S., LLC

  • General Practice Dentistry
  • Crystal Lake, IL
National Provider Identifier
1629186937
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
77 E Crystal Lake Ave
Crystal Lake, IL 60014-6171
Phone
(815) 459-8650
Fax
(815) 455-9503
NPI assigned
Aug 27, 2006
Last updated
Oct 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Specialties & licenses 1

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

Addresses

Primary practice location

77 E Crystal Lake Ave
Crystal Lake, IL 60014-6171

Mailing address

77 E Crystal Lake Ave
Crystal Lake, IL 60014-6171
Phone (815) 459-8650

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

State licenses

LicenseStateTypeSpecialty
019013570ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richard J Osmanski, DDS PC General Practice 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, 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": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1629186937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E CRYSTAL LAKE AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146171",
            "telephone_number": "815-459-8650",
            "fax_number": "815-455-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E CRYSTAL LAKE AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146171",
            "telephone_number": "815-459-8650",
            "fax_number": "815-455-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINLUND",
        "first_name": "DONALD",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "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 Oct 4, 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.