Individual provider Active NPI

John Walker Vangilder, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Barrington, IL
National Provider Identifier
1639236755
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
021001585 Issued in IL
Practice address
101 Lions Dr
Suite 116
Barrington, IL 60010-3181
Phone
(847) 382-4224
Fax
(847) 382-4487
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 021001585 IL Primary

Addresses

Primary practice location

101 Lions Dr
Suite 116
Barrington, IL 60010-3181

Mailing address

101 Lions Dr
Suite 116
Barrington, IL 60010-3181
Phone (847) 382-4224

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
021001585ILMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Barrington Oral & Maxillofacial Surgery Oral and Maxillofacial Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jvangilder236511@direct.myadvocateaurora.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1639236755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LIONS DR",
            "address_2": "SUITE 116",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103181",
            "telephone_number": "847-382-4224",
            "fax_number": "847-382-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LIONS DR",
            "address_2": "SUITE 116",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103181",
            "telephone_number": "847-382-4224",
            "fax_number": "847-382-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGILDER",
        "first_name": "JOHN",
        "middle_name": "WALKER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021001585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.