Active NPI
Buffalo Grove Oral & Maxillofacial Surgery PC
- Oral and Maxillofacial Surgery (Dentist)
- Arlington Heights, IL
National Provider Identifier
1679684369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- BUFFALO GROVE ORAL & MAXILLOFACIAL SURGERY PC
- Practice address
- 3325 N Arlington Heights Road
Suite 600a
Arlington Heights, IL 60004 - Phone
- (847) 259-8883
- Fax
- (847) 259-8891
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Herbert M Kanter, DDS
- Title
- Oral & Maxillofacial Surgeon Pres
- Phone
- (847) 259-8883
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 02100082 | IL | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | IL | Primary |
Addresses
Primary practice location
3325 N Arlington Heights Road
Suite 600a
Arlington Heights, IL 60004
Mailing address
3325 N Arlington Heights Road
Suite 600a
Arlington Heights, IL 60004
Phone (847) 259-8883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80005430 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names 1
- Herbert M Kanter DDS
National Provider Directory
National Provider DirectoryLocations
3325 N Arlington Heights Rd
Ste 600A
Arlington Heights, IL 60004
Phone (847) 259-8883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679684369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 N ARLINGTON HEIGHTS ROAD",
"address_2": "SUITE 600A",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "60004",
"telephone_number": "847-259-8883",
"fax_number": "847-259-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 N ARLINGTON HEIGHTS ROAD",
"address_2": "SUITE 600A",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "60004",
"telephone_number": "847-259-8883",
"fax_number": "847-259-8891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUFFALO GROVE ORAL & MAXILLOFACIAL SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KANTER",
"authorized_official_first_name": "HERBERT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ORAL & MAXILLOFACIAL SURGEON PRES",
"authorized_official_telephone_number": "847-259-8883",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IL",
"license": "02100082",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "80005430",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Herbert M Kanter DDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.