Active NPI
Adam Patrick Forbes, DMD
- Dentist
- Munster, IN
National Provider Identifier
1699396820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12013449A
- Practice address
- 417 Ridge Rd Ste a
Munster, IN 46321-1571 - Phone
- (219) 552-7674
- NPI assigned
- Apr 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.032797 | IL | |
| Dentist | 122300000X | 12013449A | IN | Primary |
Addresses
Primary practice location
417 Ridge Rd Ste a
Munster, IN 46321-1571
Mailing address
1025 S Seminary Ave
Park Ridge, IL 60068-4361
Phone (224) 567-3072
Other practice location 1
101 S Washington Ave
Park Ridge, IL 60068-4200
Phone (847) 698-0203
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.032797 | IL | MD | Dentist |
| 12013449A | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1699396820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 S SEMINARY AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684361",
"telephone_number": "224-567-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 RIDGE RD STE A",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211571",
"telephone_number": "219-552-7674"
}
],
"practiceLocations": [
{
"address_1": "101 S Washington Ave",
"address_purpose": "LOCATION",
"city": "Park Ridge",
"state": "IL",
"postal_code": "600684200",
"country_code": "US",
"telephone_number": "847-698-0203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORBES",
"first_name": "ADAM",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-28",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.032797",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12013449A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.