Organization Active NPI

Buffalo Grove Oral & Maxillofacial Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Arlington Heights, IL
National Provider Identifier
1679684369
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 02100082 IL
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
80005430OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Herbert M Kanter DDS Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.