Gary Ferd Alder, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-04782 Issued in IL

Practice address

404 Lathrop Ave
River Forest, IL 60305-1821

Phone

(708) 366-8909

Fax

(708) 377-4158

NPI assigned

Feb 9, 2007

Last updated

Apr 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Global Facial Aesthetics PC

  • Dentist
  • River Forest, IL
  • NPI 1659753481
  NPD (past) Authorized official
• Dental Group, LTD.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1457448680
  NPD
• Russell P Umbricht DDS LTD

  dba Lathrop Oral Care

  • Dentist
  • River Forest, IL
  • NPI 1922265578
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1669513826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LATHROP AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051821",
            "telephone_number": "708-366-8909",
            "fax_number": "708-377-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 LATHROP AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051821",
            "telephone_number": "708-366-8909",
            "fax_number": "708-377-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDER",
        "first_name": "GARY",
        "middle_name": "FERD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-04782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001040",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul R Abbo, M.D.
• Accelerated Rehabilitation Centers, LTD
• SL Adler
• Advanced Cancer Care Associates Corp
• Saba F Ahmed, O.D.
• Mirna Alhusseini, RPH
• Nicole Alkaraki, LCPC
• Dana Allen, LCPC, LPC, CRC
• Kashara Renee Allen
• American Drug Stores LLC (Osco Drug #3223)

• General Practice Dentistry in River Forest, IL
• Providers in River Forest, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.