Individual provider Active NPI

Christopher R. Isabelle, DMD

  • Dentist
  • Chicago, IL
National Provider Identifier
1649654898
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019030292 Issued in IL
Practice address
1605 S Michigan Ave
Suite B
Chicago, IL 60616-1209
Phone
(312) 624-8913
NPI assigned
Jul 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019030292 IL Primary

Addresses

Primary practice location

1605 S Michigan Ave
Suite B
Chicago, IL 60616-1209

Mailing address

1620 S Michigan Ave
Unit 716
Chicago, IL 60616-1281
Phone (708) 415-6507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20161027000364 IN Order and Referring Only - DentistPractitioner - Dentist 3870871734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019030292ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Isabelle DMD PLLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

4845 N Milwaukee Ave
Chicago, IL 60630
Phone (708) 415-6507

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": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1649654898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S MICHIGAN AVE",
            "address_2": "UNIT 716",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161281",
            "telephone_number": "708-415-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S MICHIGAN AVE",
            "address_2": "SUITE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161209",
            "telephone_number": "312-624-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISABELLE",
        "first_name": "CHRISTOPHER",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.